Albuquerque Pharmacy

LBN: Albuquerque Manor Pharmacy, Inc
Albuquerque Pharmacy is an health care organization with primary practice located at 500 Louisiana Blvd Ne , Albuquerque NM 87108-2051. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Albuquerque Manor Pharmacy, Inc can be contacted via phone (505) 262-5728, or through Persyn, Angela via phone (210) 510-2692.

Contact Information

Primary practice address
500 Louisiana Blvd Ne Albuquerque NM 87108-2051
Phone: (505) 262-5728
Fax: (505) 262-5779
Website:
Map and Directions
Authorized official contact:
Name: Persyn, Angela PHARMD
Phone: (210) 510-2692

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PH00001438 New Mexico

Profile Details

NPI number 1982753232
LBN Legal business name Albuquerque Manor Pharmacy, Inc
DBA Doing business as Albuquerque Pharmacy
Authorized official Persyn, Angela PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated May 7th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982753232 NPPES
Other 2058119 PK
MEDICAID 65698 PK

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