OrganizationActive
Jicarilla Ihs Pharmacy
NPI 1124220900 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Dulce, NM
Provider details
- NPI number
- 1124220900
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Organization subpart
- No
- Authorized official
- James Cummings, Pharmacy Program Specialist(405) 951-6086
Specialties & taxonomies
Suppliers
Practice location
500 N Mundo Dr
Dulce, NM 87528-5176
Phone: (505) 759-3291
Fax: (505) 759-3532
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 95447
Cleveland, OH 44101-0033
Other names (DBA / former)
- Doing business as
- Dulce Ihs Pharmacy
- Doing business as
- Dulce Ihs Pharmacy
Registry dates
- Enumerated
- 2007-06-04
- Last updated
- 2023-03-02
- Certified
- 2023-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.