Organization Name: | ACOMA CANONCITO LAGUNA IHS PHARMACY |
NPI Number: | 1881727873 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES CUMMINGS (PHARMACY PROGRAM SPECIALIST) |
Mailing Address: | 1 40 Exit 203 Acomita San Fidel |
State: | NM US |
Postal Code: | 87049 |
Phone Number: | 5055525393 |
Fax Number: | 5055525484 |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 03/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0002X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Clinic Pharmacy |
Taxonomy Definition: | A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |