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Santa Clara Ihs Pharmacy
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Espanola, New Mexico
NPI 1932231941

Santa Clara Ihs Pharmacy is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Pasadena, NM. Santa Clara Ihs Pharmacy practices in Espanola, NM. The NPI Number for Santa Clara Ihs Pharmacy is 1932231941 and holds a License No. (New Mexico).

The current practice location address for Santa Clara Ihs Pharmacy is Route 5, Espanola, NM and can be reached out via phone at 505-753-9421 and via fax at 505-753-5039.

Location: Route 5, Espanola, NM, 91110-0669
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932231941
Provider Name
Santa Clara Ihs Pharmacy
Credential
Provider Entity Type
Organization
Address
Route 5, Espanola, NM, 91110-0669
Phone Number
505-753-9421
Fax Number
505-753-5039
Provider Enumeration Date
03/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2058722 01 PK
B3736 05 NM
institution
Provider Business Practice Location Address Details
Address
Route 5
City
Espanola
State
New Mexico
Zip
87532-9614
Phone Number
505-753-9421
Fax Number
505-753-5039
person
Provider Business Mailing Address Details
Address
Route 5
City
Espanola
State
New Mexico
Zip
87532-9614
Phone Number
505-753-9421
Fax Number
505-753-5039
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.
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