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Crownpoint Health Care Pharmacy

Organization Active NPI Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Crownpoint, NM

NPI 1023148608 · NPPES record last updated Mar 5, 2013

Key facts

NPI
1023148608
Entity type
Organization (NPI type 2)
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
License
NM5099 (NM)
Legal business name
CROWNPOINT HEALTH CARE PHARMACY
Practice address
Hwy JCT 57 RT 9
Crownpoint, NM 87313-0358
Phone
(505) 786-6344
Fax
(505) 786-6440
NPI assigned
Mar 6, 2007
Organization subpart
No

Authorized official

Name
James Cummings, PHARMD
Title
Pharmacy Program Specialist
Phone
(405) 951-6086

Corporate family (same tax ID) 6

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Thoreau Clinic (7 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X NM5099 NM Yes

Addresses

Primary practice location

Hwy JCT 57 RT 9
Crownpoint, NM 87313-0358

Mailing address

Pharmacy Dept
PO Box 358
Crownpoint, NM 87313-0358

Other identifiers

IdentifierTypeStateIssuer
3210262OtherNCPDP PROVIDER IDENTIFICATION NUMBER
H8906MedicaidNM

Other names

  • CROWNPOINT HEALTH CARE PHARMACY Doing business as

Other providers in Crownpoint, NM

All providers in Crownpoint, NM · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in New Mexico

Sources for this page

Verify at the official NPI Registry.