Wagner Indian Health Care Pharmacy

NPI 1548390115 - Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy - 332800000X

NPI Details
NPI 1548390115
Enumeration Date 03/06/2007
Last Updated 02/20/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JAMES JAMES
Position PHARMACY PROGRAM SPECIALIST
Phone (605) 384-3621
Fax (605) 384-5229
Practice Location
111 WASHINGTON AVE NW
WAGNER SD, 57380-4300, US
Phone (605) 384-3621
Fax (605) 384-5229
Business Location
3116 SOLUTIONS CTR
CHICAGO IL, 60677-3001, US
Phone
Fax
Toxanomy
Taxonomy Code 332800000X
License State South Dakota
License Number 3860
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According to our database, Wagner Indian Health Care Pharmacy NPI is 1548390115, taxonomy code is 332800000X and license number is 3860, license state is located at South Dakota. Wagner Indian Health Care Pharmacy physically located at 111 Washington Ave Nw, Wagner SD, 57380-4300. NPI Number 1033115704 has the healthcare provider type.

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1548390115 NPI number is provided on an as is basis without warranty of any kind. 1548390115 is maintained by the National Plan & Provider Enumeration System. The contents of Wagner Indian Health Care Pharmacy are for informational purposes only.