Cibola General Hospital Pharmacy

LBN: Cibola General Hospital Phcy
Cibola General Hospital Pharmacy is an health care organization with primary practice located at 1016 E Roosevelt Ave , Grants NM 87020-2118. The organization recently has only one registered license in Suppliers / Institutional Pharmacy, which is considered as the primary health care specialty. Cibola General Hospital Phcy can be contacted via phone (505) 287-5320, or through Hall, Andrew via phone (505) 287-5320.

Contact Information

Primary practice address
1016 E Roosevelt Ave Grants NM 87020-2118
Phone: (505) 287-5320
Fax: (505) 287-5325
Website:
Map and Directions
Authorized official contact:
Name: Hall, Andrew RPH
Phone: (505) 287-5320

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Institutional Pharmacy 3336I0012X PH00002150 New Mexico

Profile Details

NPI number 1093024275
LBN Legal business name Cibola General Hospital Phcy
DBA Doing business as Cibola General Hospital Pharmacy
Authorized official Hall, Andrew RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2010
Last updated Oct 5th, 2010 - about 16 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 1093024275 NPPES
Other 3204625 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 00729 NCPDP PROVIDER IDENTIFICATION NUMBER

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