Santa Domingo Pharmacy
LBN: Santa Domingo Ihs Pharmacy
Santa Domingo Pharmacy is an health care organization with primary practice located at 340 San Ildefonso St , Santa Domingo NM 87052. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as the primary health care specialty.
Santa Domingo Ihs Pharmacy can be contacted via phone (505) 465-3060, or through Schweitzer, Pamela via phone (602) 364-5277.
Contact Information
Primary practice address
340 San Ildefonso St
Santa Domingo NM 87052
Phone: (505) 465-3060
Fax: (505) 465-1155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X |
Profile Details
| NPI number | 1326165994 |
|---|---|
| LBN Legal business name | Santa Domingo Ihs Pharmacy |
| DBA Doing business as | Santa Domingo Pharmacy |
| Authorized official | Schweitzer, Pamela PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Apr 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326165994 | NPPES |
| Other | 3210399 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | B3725 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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