National Provider Identifier Database

TSAILE HEALTH CENTER 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

TSAILE HEALTH CENTER PHARMACY
INTERSECTION RT 64 AND 12
TSAILE, AZ86556
Phone: 928-724-3643
Fax: 928-724-3605
Website:
Specialty Taxonomy Code
* Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

* Indicates primary specialty

NPI Profile & details for TSAILE HEALTH CENTER PHARMACY

NPI Number 1659490225
Legal business name
LBN
TSAILE HEALTH CENTER PHARMACY
Authorized official JAMES CUMMINGS - (PHARMACY PROGRAM SPECIALIST)
Entity Organization
Organization subpart No
Enumeration date 03/28/2007
Last updated 11/09/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ Medicaid: 061119
  • AZ Medicaid: 61119
  • Other: 1991278 PK

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.

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