location
search-icon
institution
Santa Domingo Ihs Pharmacy
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Santa Domingo, New Mexico
NPI 1326165994

Santa Domingo Ihs Pharmacy is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Pasadena, NM. Santa Domingo Ihs Pharmacy practices in Santa Domingo, NM. The NPI Number for Santa Domingo Ihs Pharmacy is 1326165994 and holds a License No. (New Mexico).

The current practice location address for Santa Domingo Ihs Pharmacy is 340 San Ildefonso St, Santa Domingo, NM and can be reached out via phone at 505-465-3060 and via fax at 505-465-1155.

Location: 340 San Ildefonso St, Santa Domingo, NM, 91110-0664
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326165994
Provider Name
Santa Domingo Ihs Pharmacy
Credential
Provider Entity Type
Organization
Address
340 San Ildefonso St, Santa Domingo, NM, 91110-0664
Phone Number
505-465-3060
Fax Number
505-465-1155
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
3210399 01 NCPDP PROVIDER IDENTIFICATION NUMBER
B3725 05 NM
institution
Provider Business Practice Location Address Details
Address
340 San Ildefonso St
City
Santa Domingo
State
New Mexico
Zip
87052
Phone Number
505-465-3060
Fax Number
505-465-1155
person
Provider Business Mailing Address Details
Address
340 San Ildefonso St
City
Santa Domingo
State
New Mexico
Zip
87052
Phone Number
505-465-3060
Fax Number
505-465-1155
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.