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Presbyterian Medical Services
Non-Pharmacy Dispensing Site in Gallup, New Mexico
NPI 1972670305

Presbyterian Medical Services is a Non-Pharmacy Dispensing Site based in Santa Fe, NM. Presbyterian Medical Services practices in Gallup, NM. The NPI Number for Presbyterian Medical Services is 1972670305 and holds a License No. (New Mexico).

The current practice location address for Presbyterian Medical Services is 610 N 5Th St, Gallup, NM and can be reached out via phone at 505-863-3120 and via fax at 505-863-2961.

Location: 610 N 5Th St, Gallup, NM, 87504-2267
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972670305
Provider Name
Presbyterian Medical Services
Credential
Provider Entity Type
Organization
Address
610 N 5Th St, Gallup, NM, 87504-2267
Phone Number
505-863-3120
Fax Number
505-863-2961
Provider Enumeration Date
11/29/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3209675 01 OTHER ID NUMBER
50526 05 NM
institution
Provider Business Practice Location Address Details
Address
610 N 5Th St
City
Gallup
State
New Mexico
Zip
87301-5306
Phone Number
505-863-3120
Fax Number
505-863-2961
person
Provider Business Mailing Address Details
Address
610 N 5Th St
City
Gallup
State
New Mexico
Zip
87301-5306
Phone Number
505-863-3120
Fax Number
505-863-2961
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
CL00007461 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
(New Mexico)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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