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Cochiti Ihs Pharmacy
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Cochiti Pueblo, New Mexico
NPI 1285766642

Cochiti Ihs Pharmacy is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Pasadena, NM. Cochiti Ihs Pharmacy practices in Cochiti Pueblo, NM. The NPI Number for Cochiti Ihs Pharmacy is 1285766642 and holds a License No. (New Mexico).

The current practice location address for Cochiti Ihs Pharmacy is 255 Cochiti St, Cochiti Pueblo, NM and can be reached out via phone at 505-465-2587 and via fax at 505-465-1135.

Location: 255 Cochiti St, Cochiti Pueblo, NM, 91110-0664
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285766642
Provider Name
Cochiti Ihs Pharmacy
Credential
Provider Entity Type
Organization
Address
255 Cochiti St, Cochiti Pueblo, NM, 91110-0664
Phone Number
505-465-2587
Fax Number
505-465-1135
Provider Enumeration Date
03/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3210402 01 NCPDP PROVIDER IDENTIFICATION NUMBER
B3742 05 NM
institution
Provider Business Practice Location Address Details
Address
255 Cochiti St
City
Cochiti Pueblo
State
New Mexico
Zip
87072-9998
Phone Number
505-465-2587
Fax Number
505-465-1135
person
Provider Business Mailing Address Details
Address
255 Cochiti St
City
Cochiti Pueblo
State
New Mexico
Zip
87072-9998
Phone Number
505-465-2587
Fax Number
505-465-1135
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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