Route 66 Pharmacy

LBN: Guadalupe County
Route 66 Pharmacy is an health care organization with primary practice located at 117 Camino De Vida Ste 200 , Santa Rosa NM 88435-2267. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Guadalupe County can be contacted via phone (575) 472-5666, or through Campos, Christina via phone (575) 472-5666.

Contact Information

Primary practice address
117 Camino De Vida Ste 200 Santa Rosa NM 88435-2267
Phone: (575) 472-5666
Fax: (575) 472-9666
Website:
Map and Directions
Authorized official contact:
Name: Campos, Christina MBA
Phone: (575) 472-5666

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH00003554 New Mexico

Profile Details

NPI number 1982749453
LBN Legal business name Guadalupe County
DBA Doing business as Route 66 Pharmacy
Authorized official Campos, Christina MBA
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Sep 12th, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982749453 NPPES
Other 2141912 PK
MEDICAID 88484009 PK

Popular Providers