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Gallup Indian Med Center Pharmacy
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Gallup, New Mexico
NPI 1538298989

Gallup Indian Med Center Pharmacy is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Pasadena, NM. Gallup Indian Med Center Pharmacy practices in Gallup, NM. The NPI Number for Gallup Indian Med Center Pharmacy is 1538298989 and holds a License No. (New Mexico).

The current practice location address for Gallup Indian Med Center Pharmacy is 516 E Nizhoni Blvd, Gallup, NM and can be reached out via phone at 505-722-1185 and via fax at 505-722-1554.

Location: 516 E Nizhoni Blvd, Gallup, NM, 91110-0650
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538298989
Provider Name
Gallup Indian Med Center Pharmacy
Credential
Provider Entity Type
Organization
Address
516 E Nizhoni Blvd, Gallup, NM, 91110-0650
Phone Number
505-722-1185
Fax Number
505-722-1554
Provider Enumeration Date
03/03/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
67566 05 NM
2058596 01 PK
institution
Provider Business Practice Location Address Details
Address
516 E Nizhoni Blvd
City
Gallup
State
New Mexico
Zip
87301-5748
Phone Number
505-722-1185
Fax Number
505-722-1554
person
Provider Business Mailing Address Details
Address
516 E Nizhoni Blvd
City
Gallup
State
New Mexico
Zip
87301-5748
Phone Number
505-722-1185
Fax Number
505-722-1554
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.
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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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