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Sierra Blanca Pharmacy Llc
Compounding Pharmacy in Ruidoso, New Mexico
NPI 1740549054

Sierra Blanca Pharmacy Llc is a Compounding Pharmacy based in Ruidoso, NM and is specialized in Compounding Pharmacy. Sierra Blanca Pharmacy Llc practices in Ruidoso, NM. The NPI Number for Sierra Blanca Pharmacy Llc is 1740549054 and holds a License No. (New Mexico).

The current practice location address for Sierra Blanca Pharmacy Llc is 1206 Mechem Dr, Ruidoso, NM and can be reached out via phone at 575-258-2456 and via fax at 575-258-2465. You can also correspond with Sierra Blanca Pharmacy Llc through the mailing address at 1206 MECHEM DR, RUIDOSO, NM - 88345-7206 (mailing address contact number: 575-258-2456).

Location: 1206 Mechem Dr, Ruidoso, NM, 88345-7206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740549054
Provider Name
Sierra Blanca Pharmacy Llc
Credential
Provider Entity Type
Organization
Address
1206 Mechem Dr, Ruidoso, NM, 88345-7206
Phone Number
575-258-2456
Fax Number
575-258-2465
Provider Enumeration Date
05/07/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3212343 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
1206 Mechem Dr
City
Ruidoso
State
New Mexico
Zip
88345-7206
Phone Number
575-258-2456
Fax Number
575-258-2465
person
Provider Business Mailing Address Details
Address
1206 Mechem Dr
City
Ruidoso
State
New Mexico
Zip
88345-7206
Phone Number
575-258-2456
Fax Number
575-258-2465
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PH00003414 (New Mexico)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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