Pueblo Of Isleta - Isleta, NM

Pueblo Of Isleta

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Isleta, New Mexico

NPI 1407979008

Pueblo Of Isleta is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Isleta, NM. Pueblo Of Isleta practices in Isleta, NM. The NPI Number for Pueblo Of Isleta is 1407979008 and holds a License No. 501C (New Mexico).

The current practice location address for Pueblo Of Isleta is 01 Sagebrush St, Isleta, NM and can be reached out via phone at 505-869-4863 and via fax at 505-869-4811.

Location: 01 Sagebrush St, Isleta, NM, 87022-0000

NPI Number

1407979008

Provider Name

Pueblo Of Isleta

Credential

Provider Entity Type

Organization

Address

01 Sagebrush St, Isleta, NM, 87022-0000

Phone Number

505-869-4863

Fax Number

505-869-4811

Provider Enumeration Date

04/09/2007

Last Update Date

02/15/2025

Identifier	Type	State	Issuer
00010146	05	NM

Address

01 Sagebrush St

City

Isleta

State

New Mexico

Zip

87022-0000

Phone Number

505-869-4863

Fax Number

505-869-4811

Address

01 Sagebrush St

City

Isleta

State

New Mexico

Zip

87022-0000

Phone Number

505-869-4863

Fax Number

505-869-4811

Type

Suppliers

Classification

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

Speciality

Taxonomy

332800000X

License No.

501C (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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