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Acoma Canoncito Laguna Pharmacy
Specialty Pharmacy in Acoma, New Mexico
NPI 1881727873

Acoma Canoncito Laguna Pharmacy is a Specialty Pharmacy based in San Fidel, NM and is specialized in Specialty Pharmacy. Acoma Canoncito Laguna Pharmacy practices in Acoma, NM. The NPI Number for Acoma Canoncito Laguna Pharmacy is 1881727873 and holds a License No. (New Mexico).

The current practice location address for Acoma Canoncito Laguna Pharmacy is 80 B Veterans Blvd, Acoma, NM and can be reached out via phone at 505-552-5393 and via fax at 505-552-5484.

Location: 80 B Veterans Blvd, Acoma, NM, 87049
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881727873
Provider Name
Acoma Canoncito Laguna Pharmacy
Credential
Provider Entity Type
Organization
Address
80 B Veterans Blvd, Acoma, NM, 87049
Phone Number
505-552-5393
Fax Number
505-552-5484
Provider Enumeration Date
03/13/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
H3451 05 NM
68376 05 NM
3209245 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
80 B Veterans Blvd
City
Acoma
State
New Mexico
Zip
87034-8703
Phone Number
505-552-5393
Fax Number
505-552-5484
person
Provider Business Mailing Address Details
Address
80 B Veterans Blvd
City
Acoma
State
New Mexico
Zip
87034-8703
Phone Number
505-552-5393
Fax Number
505-552-5484
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.
()
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
()
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Institutional Pharmacy
Taxonomy
3336I0012X
License No.
()
Definition
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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
Specialty Pharmacy
Taxonomy
3336S0011X
License No.
()
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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