Dhhs Ihs Phoenix Area

Practice location

Address

Hwy 264 Mile Marker 388, Polacca, AZ 86042

Phone

(928) 737-6195

Fax

(928) 737-6332

Mailing address

PO Box 31001-0704, Pasadena, CA 91110-0704

Authorised official

Name

James Cummings

Title

Pharmacy Program Specialist

Phone

(405) 951-6086

Registered specialties

Registry record

NPI

1376678946

Entity type

Organization

NPI issued

22 Feb 2007

Record last updated

12 Oct 2016

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.