Dulce Ihs Pharmacy

LBN: Jicarilla Ihs Pharmacy
Dulce Ihs Pharmacy is an health care organization with primary practice located at 500 N Mundo Dr , Dulce NM 87528-5176. 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. Jicarilla Ihs Pharmacy can be contacted via phone (505) 759-3291, or through Cummings, James via phone (405) 951-6086.

Contact Information

Primary practice address
500 N Mundo Dr Dulce NM 87528-5176
Phone: (505) 759-3291
Fax: (505) 759-3532
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 1124220900
LBN Legal business name Jicarilla Ihs Pharmacy
DBA Doing business as Dulce Ihs Pharmacy
Authorized official Cummings, James PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2007
Last updated Mar 2nd, 2023 - about last year

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 1124220900 NPPES
New Mexico MEDICAID 000K3526
New Mexico Other 3210248

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