Zia Indian Health Clinic Pharmacy
LBN: Zia Indian Health Clinic Pharmacy
Zia Indian Health Clinic Pharmacy is an health care organization with primary practice located at 155B Capitol Square Dr , San Ysidro NM 87053-6013. 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.
Zia Indian Health Clinic Pharmacy can be contacted via phone (505) 867-5258, or through Cummings, James via phone (405) 951-6086.
Contact Information
Primary practice address
155B Capitol Square Dr
San Ysidro NM 87053-6013
Phone: (505) 867-5258
Fax: (505) 771-9452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X |
Profile Details
| NPI number | 1225155666 |
|---|---|
| LBN Legal business name | Zia Indian Health Clinic Pharmacy |
| DBA Doing business as | Zia Indian Health Clinic Pharmacy |
| Authorized official | Cummings, James PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Feb 20th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225155666 | NPPES |
| Other | 3209269 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 11115 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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