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Pueblo Of Sandia
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Bernalillo, New Mexico
NPI 1548588643

Pueblo Of Sandia is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Bernalillo, NM. Pueblo Of Sandia practices in Bernalillo, NM. The NPI Number for Pueblo Of Sandia is 1548588643 and holds a License No. (New Mexico).

The current practice location address for Pueblo Of Sandia is 203 Sandia Day School Road, Bernalillo, NM and can be reached out via phone at 505-867-4696 and via fax at 505-771-5107.

Location: 203 Sandia Day School Road, Bernalillo, NM, 87004-7076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548588643
Provider Name
Pueblo Of Sandia
Credential
Provider Entity Type
Organization
Address
203 Sandia Day School Road, Bernalillo, NM, 87004-7076
Phone Number
505-867-4696
Fax Number
505-771-5107
Provider Enumeration Date
05/13/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
35922079 05 NM
institution
Provider Business Practice Location Address Details
Address
203 Sandia Day School Road
City
Bernalillo
State
New Mexico
Zip
87004-7076
Phone Number
505-867-4696
Fax Number
505-771-5107
person
Provider Business Mailing Address Details
Address
203 Sandia Day School Road
City
Bernalillo
State
New Mexico
Zip
87004-7076
Phone Number
505-867-4696
Fax Number
505-771-5107
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
261QC1500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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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