National Provider Identifier Database

CROWNPOINT HEALTH CARE PHARMACY
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.


Contact Information

CROWNPOINT HEALTH CARE PHARMACY
HWY JCT 57 RT 9
CROWNPOINT, NM87313-0358
Phone: 505-786-6344
Fax: 505-786-6440
Website:
Specialty Taxonomy Code
* Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

* Indicates primary specialty

NPI Profile & details for CROWNPOINT HEALTH CARE PHARMACY

NPI Number 1023148608
Legal business name
LBN
CROWNPOINT HEALTH CARE PHARMACY
Authorized official JAMES CUMMINGS - (PHARMACY PROGRAM SPECIALIST)
Entity Organization
Organization subpart No
Enumeration date 03/06/2007
Last updated 03/05/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: NM5099
  • NM Medicaid: H8906
  • Other: 3210262 NCPDP PROVIDER IDENTIFICATION NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for CROWNPOINT HEALTH CARE PHARMACY

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