Lamc White Rock Pharmacy

LBN: Lamc White Rock Pharmacy
Lamc White Rock Pharmacy is an health care organization with primary practice located at White Rock Med Clinic Ste B , White Rock NM 87544. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Lamc White Rock Pharmacy can be contacted via phone (505) 672-3701, or through Candelaria, Anabel via phone (505) 661-9568.

Contact Information

Primary practice address
White Rock Med Clinic Ste B White Rock NM 87544
Phone: (505) 672-3701
Fax: (505) 672-0369
Website:
Map and Directions
Authorized official contact:
Name: Candelaria, Anabel PHARM D
Phone: (505) 661-9568

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PH00002442 New Mexico
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1215942826
LBN Legal business name Lamc White Rock Pharmacy
DBA Doing business as
Authorized official Candelaria, Anabel PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1215942826 NPPES
New Mexico MEDICAID 65086
New Mexico Other 3203940

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