Lovelace Rio Bravo Pharmacy

LBN: Lovelace Health Systems Inc
Lovelace Rio Bravo Pharmacy is an health care organization with primary practice located at 200 Rio Bravo Blvd Se , Albuquerque NM 87105-5904. 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. Lovelace Health Systems Inc can be contacted via phone (505) 727-5935, or through Trom, Brad via phone (505) 727-1299.

Contact Information

Primary practice address
200 Rio Bravo Blvd Se Albuquerque NM 87105-5904
Phone: (505) 727-5935
Fax: (505) 727-9067
Website:
Map and Directions
Authorized official contact:
Name: Trom, Brad RPH
Phone: (505) 727-1299

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH00001688 New Mexico

Profile Details

NPI number 1770667438
LBN Legal business name Lovelace Health Systems Inc
DBA Doing business as Lovelace Rio Bravo Pharmacy
Authorized official Trom, Brad RPH
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 25th, 2006
Last updated Mar 19th, 2014 - about 12 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 1770667438 NPPES
Other 2057696 PK
MEDICAID 64121 PK

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