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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
332800000X | 87 | All Other Suppliers |
| NPI # | 1548390115 |
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| LBN Legal business name | WAGNER INDIAN HEALTH CARE PHARMACY | ||||||||||||
| Authorized official | JAMES CUMMINGS - (PHARMACY PROGRAM SPECIALIST) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 03/06/2007 | ||||||||||||
| Last updated | 02/20/2013 - About 13 years ago | ||||||||||||
| Identifiers |
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WAGNER INDIAN HEALTH CARE PHARMACY