NPI 1215062864
Dhhs Ihs Phoenix Area
Practice location
- Address
- 101 Medical Drive, Bylas, AZ 85530
- Phone
- (928) 475-7142
- Fax
- (928) 475-7377
- Mailing address
- Phs San Carlos PO Box 31001-0702, Pasadena, CA 91110-0702
Authorised official
- Name
- James Cummings
- Title
- Pharmacy Program Specialist
- Phone
- (405) 951-6086
Registered specialties (2)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
Specialty Pharmacy
Registry record
- NPI
- 1215062864
- Entity type
- Organization
- NPI issued
- 23 Feb 2007
- Record last updated
- 5 Mar 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.