NPI | 1538298989 |
---|---|
Doing Business As | GALLUP INDIAN MED CENTER PHARMACY |
Entity Type | Organization |
Authorized Contact | JAMES CUMMINGS Pharmacy Program Specialist 405-951-6086 |
Organization Subpart ? | No |
Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
Enumeration Date | 2007-03-03 |
Last Update Date | 2015-01-23 |