Gallup Indian Med Center Pharmacy

LBN: Gallup Indian Med Center Pharmacy
Gallup Indian Med Center Pharmacy is an health care organization with primary practice located at 516 E Nizhoni Blvd , Gallup NM 87301-5748. 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. Gallup Indian Med Center Pharmacy can be contacted via phone (505) 722-1185, or through Cummings, James via phone (405) 951-6086.

Contact Information

Primary practice address
516 E Nizhoni Blvd Gallup NM 87301-5748
Phone: (505) 722-1185
Fax: (505) 722-1554
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 1538298989
LBN Legal business name Gallup Indian Med Center Pharmacy
DBA Doing business as Gallup Indian Med Center Pharmacy
Authorized official Cummings, James PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2007
Last updated Jan 23rd, 2015 - about 9 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 1538298989 NPPES
New Mexico MEDICAID 67566
New Mexico Other 2058596

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