Whalio Doctors

NPI 1548390115

Wagner Indian Health Care Pharmacy

Organisation Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Wagner, SD

Practice location

Address
111 Washington Ave NW, Wagner, SD 57380-4300
Phone
(605) 384-3621
Fax
(605) 384-5229
Mailing address
3116 Solutions Ctr, Chicago, IL 60677-3001

Authorised official

Name
James Cummings
Title
Pharmacy Program Specialist
Phone
(405) 951-6086

Registered specialties

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary
Suppliers Taxonomy 332800000X Licence 3860 (SD)

Registry record

NPI
1548390115
Entity type
Organization
NPI issued
6 Mar 2007
Record last updated
20 Feb 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.