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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.

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Contact Information

TSAILE HEALTH CENTER PHARMACY
INTERSECTION RT 64 AND 12
TSAILE, AZ  86556
 Phone: 928-724-3643
 Fax: 928-724-3605
 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 TSAILE HEALTH CENTER PHARMACY

NPI Number 1659490225
LBN Legal business name TSAILE HEALTH CENTER PHARMACY
Authorized official JAMES CUMMINGS - (PHARMACY PROGRAM SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/28/2007
Last updated 11/09/2015 - About 11 years ago
Identifiers
AZ Medicaid 061119
AZ Medicaid 61119
Other 1991278 PK
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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