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Contact Information

LOWER BRULE IHS CLINIC PHARMACY
1 CLINIC BLVD
LOWER BRULE, SD57548
 Phone: 605-473-8226
 Fax: 605-473-0607
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

332800000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for LOWER BRULE IHS CLINIC PHARMACY

NPI # 1184753147
LBN Legal business name LOWER BRULE IHS CLINIC PHARMACY
Authorized official JAMES CUMMINGS - (PHARMACY PROGRAM SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/05/2007
Last updated 03/07/2013 - About 13 years ago
Identifiers
SD Medicaid 5549020
Other 4304882 NCPDP PROVIDER IDENTIFICATION NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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