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Contact Information

CORRALES PHARMACY INC
221 STATE HIGHWAY 165 # A4
A4
PLACITAS, NM87043-9514
 Phone: 505-480-6327
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CORRALES PHARMACY INC

NPI Number 1386276160
LBN Legal business name CORRALES PHARMACY INC
Authorized official MIKE GALLEGOS - (PIC OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/10/2020
Last updated 02/10/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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