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General NPI Number Information
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NPI Number | 1285766642
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Entity Type | Organization
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Legal Business Name | COCHITI IHS PHARMACY
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 02/20/2013
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Provider Practice Location Address
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Address Line | 255 COCHITI ST
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City | COCHITI PUEBLO
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State | NM
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Zip | 87072-9998
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Country | US
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Telephone | 505-465-2587
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Fax | 505-465-1135
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Provider Business Mailing Address
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Address Line | SANTA FE INDIAN HOSPITAL PO BOX 31001-0664
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City | PASADENA
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State | CA
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Zip | 91110-0664
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACY PROGRAM SPECIALIST
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Name | JAMES CUMMINGS
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Credential | PHARMD
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Telephone | 405-951-6086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332800000X
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Taxonomy Name | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
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License Number |
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License Number State |
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