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Zia Indian Health Clinic Pharmacy
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in San Ysidro, New Mexico
NPI 1225155666

Zia Indian Health Clinic Pharmacy is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Pasadena, NM. Zia Indian Health Clinic Pharmacy practices in San Ysidro, NM. The NPI Number for Zia Indian Health Clinic Pharmacy is 1225155666 and holds a License No. (New Mexico).

The current practice location address for Zia Indian Health Clinic Pharmacy is 155B Capitol Square Dr, San Ysidro, NM and can be reached out via phone at 505-867-5258 and via fax at 505-771-9452.

Location: 155B Capitol Square Dr, San Ysidro, NM, 91110-0677
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225155666
Provider Name
Zia Indian Health Clinic Pharmacy
Credential
Provider Entity Type
Organization
Address
155B Capitol Square Dr, San Ysidro, NM, 91110-0677
Phone Number
505-867-5258
Fax Number
505-771-9452
Provider Enumeration Date
03/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3209269 01 NCPDP PROVIDER IDENTIFICATION NUMBER
11115 05 NM
institution
Provider Business Practice Location Address Details
Address
155B Capitol Square Dr
City
San Ysidro
State
New Mexico
Zip
87053-6013
Phone Number
505-867-5258
Fax Number
505-771-9452
person
Provider Business Mailing Address Details
Address
155B Capitol Square Dr
City
San Ysidro
State
New Mexico
Zip
87053-6013
Phone Number
505-867-5258
Fax Number
505-771-9452
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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