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Mescalero Ihs Pharmacy
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Mescalero, New Mexico
NPI 1750425484

Mescalero Ihs Pharmacy is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Pasadena, NM. Mescalero Ihs Pharmacy practices in Mescalero, NM. The NPI Number for Mescalero Ihs Pharmacy is 1750425484 and holds a License No. 5316 (New Mexico).

The current practice location address for Mescalero Ihs Pharmacy is 318 Abalonie Loop, Mescalero, NM and can be reached out via phone at 575-464-3844 and via fax at 505-464-4422.

Location: 318 Abalonie Loop, Mescalero, NM, 91110-0660
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750425484
Provider Name
Mescalero Ihs Pharmacy
Credential
Provider Entity Type
Organization
Address
318 Abalonie Loop, Mescalero, NM, 91110-0660
Phone Number
575-464-3844
Fax Number
505-464-4422
Provider Enumeration Date
02/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3210250 01 NCPDP PROVIDER IDENTIFICATION NUMBER
H2347 05 NM
institution
Provider Business Practice Location Address Details
Address
318 Abalonie Loop
City
Mescalero
State
New Mexico
Zip
88340
Phone Number
575-464-3844
Fax Number
505-464-4422
person
Provider Business Mailing Address Details
Address
318 Abalonie Loop
City
Mescalero
State
New Mexico
Zip
88340
Phone Number
575-464-3844
Fax Number
505-464-4422
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.
5316 (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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