National Provider Identifier Database

MESCALERO IHS 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

MESCALERO IHS PHARMACY
318 ABALONIE LOOP
MESCALERO, NM88340
Phone: 575-464-3844
Fax: 505-464-4422
Website:
Specialty Taxonomy Code
* Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

* Indicates primary specialty

NPI Profile & details for MESCALERO IHS PHARMACY

NPI Number 1750425484
Legal business name
LBN
MESCALERO IHS PHARMACY
Authorized official JAMES CUMMINGS - (PHARMACY PROGRAM SPECIALIST)
Entity Organization
Organization subpart No
Enumeration date 02/16/2007
Last updated 03/05/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 5316
  • NM Medicaid: H2347
  • Other: 3210250 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.

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