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Crownpoint Health Care Pharmacy
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Crownpoint, New Mexico
NPI 1023148608

Crownpoint Health Care Pharmacy is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Crownpoint, NM. Crownpoint Health Care Pharmacy practices in Crownpoint, NM. The NPI Number for Crownpoint Health Care Pharmacy is 1023148608 and holds a License No. NM5099 (New Mexico).

The current practice location address for Crownpoint Health Care Pharmacy is Hwy Jct 57 Rt 9, Crownpoint, NM and can be reached out via phone at 505-786-6344 and via fax at 505-786-6440.

Location: Hwy Jct 57 Rt 9, Crownpoint, NM, 87313-0358
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023148608
Provider Name
Crownpoint Health Care Pharmacy
Credential
Provider Entity Type
Organization
Address
Hwy Jct 57 Rt 9, Crownpoint, NM, 87313-0358
Phone Number
505-786-6344
Fax Number
505-786-6440
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3210262 01 NCPDP PROVIDER IDENTIFICATION NUMBER
H8906 05 NM
institution
Provider Business Practice Location Address Details
Address
Hwy Jct 57 Rt 9
City
Crownpoint
State
New Mexico
Zip
87313-0358
Phone Number
505-786-6344
Fax Number
505-786-6440
person
Provider Business Mailing Address Details
Address
Hwy Jct 57 Rt 9
City
Crownpoint
State
New Mexico
Zip
87313-0358
Phone Number
505-786-6344
Fax Number
505-786-6440
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Speciality
-
Taxonomy
332800000X
License No.
NM5099 (New Mexico)
Definition
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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