Santa Clara Ihs Pharmacy

LBN: Santa Clara Ihs Pharmacy
Santa Clara Ihs Pharmacy is an health care organization with primary practice located at Route 5 , Espanola NM 87532-9614. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as the primary health care specialty. Santa Clara Ihs Pharmacy can be contacted via phone (505) 753-9421, or through Cummings, James via phone (405) 951-6086.

Contact Information

Primary practice address
Route 5 Espanola NM 87532-9614
Phone: (505) 753-9421
Fax: (505) 753-5039
Website:
Map and Directions
Authorized official contact:
Name: Cummings, James PHARMD
Phone: (405) 951-6086

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

Profile Details

NPI number 1932231941
LBN Legal business name Santa Clara Ihs Pharmacy
DBA Doing business as Santa Clara Ihs Pharmacy
Authorized official Cummings, James PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2007
Last updated Sep 21st, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932231941 NPPES
Other 2058722 PK
MEDICAID B3736 PK

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