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Contact Information

PHC- LOS ALAMOS INC
3917 WEST RD
LOS ALAMOS, NM87544-2275
 Phone: 505-661-9560
 Fax: 505-661-9599
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PHC- LOS ALAMOS INC

NPI Number 1821130626
LBN Legal business name PHC- LOS ALAMOS INC
Authorized official BRUCE CROMER - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 02/12/2007
Last updated 09/03/2010 - About 16 years ago
Identifiers
NM License # PH00002421
NM Medicaid 02504375
Other 3202859 NCPDP PROVIDER IDENTIFICATION NUMBER
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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