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Kewa Pueblo Health Corporation
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Santo Domingo, New Mexico
NPI 1194002345

Kewa Pueblo Health Corporation is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Santo Domingo Pueblo, NM. Kewa Pueblo Health Corporation practices in Santo Domingo, NM. The NPI Number for Kewa Pueblo Health Corporation is 1194002345 and holds a License No. (New Mexico).

The current practice location address for Kewa Pueblo Health Corporation is 85 W Highway 22, Santo Domingo, NM and can be reached out via phone at 505-465-3060 and via fax at 505-318-1079.

Location: 85 W Highway 22, Santo Domingo, NM, 87052-0559
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194002345
Provider Name
Kewa Pueblo Health Corporation
Credential
Provider Entity Type
Organization
Address
85 W Highway 22, Santo Domingo, NM, 87052-0559
Phone Number
505-465-3060
Fax Number
505-318-1079
Provider Enumeration Date
11/15/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
85 W Highway 22
City
Santo Domingo
State
New Mexico
Zip
87052-0340
Phone Number
505-465-3060
Fax Number
505-318-1079
person
Provider Business Mailing Address Details
Address
85 W Highway 22
City
Santo Domingo
State
New Mexico
Zip
87052-0340
Phone Number
505-465-3060
Fax Number
505-318-1079
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.
()
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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