Aom Pharmacy

LBN: Aom Pharmacy Advanced Orthomolecular Medicine
Aom Pharmacy is an health care organization with primary practice located at 4514 Central Ave Se Se, Albuquerque NM 87108-1212. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Aom Pharmacy Advanced Orthomolecular Medicine can be contacted via phone (505) 266-2022, or through Marcilla, James via phone (505) 280-5078.

Contact Information

Primary practice address
4514 Central Ave Se Se Albuquerque NM 87108-1212
Phone: (505) 266-2022
Fax: (505) 266-2882
Website:
Map and Directions
Authorized official contact:
Name: Marcilla, James
Phone: (505) 280-5078

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH00003344 New Mexico
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1740559913
LBN Legal business name Aom Pharmacy Advanced Orthomolecular Medicine
DBA Doing business as Aom Pharmacy
Authorized official Marcilla, James
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2011
Last updated Feb 10th, 2012 - about 14 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 1740559913 NPPES
Other 3212242 NCPDP PROVIDER IDENTIFICATION NUMBER

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