National Provider Identifier Database

PUEBLO PINTADO HEALTH CENTER
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

PUEBLO PINTADO HEALTH CENTER
HWY 371 ROUTE 9
CROWNPOINT, NM87313-0358
Phone: 505-786-6344
Fax: 505-786-6440
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for PUEBLO PINTADO HEALTH CENTER

NPI Number 1831212281
Legal business name
LBN
PUEBLO PINTADO HEALTH CENTER
Authorized official STACY WILLIAMS - (CHIEF PHARMACIST)
Entity Organization
Organization subpart No
Enumeration date 04/09/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: AU4720846
  • AZ Medicaid: 021189
  • NM Medicaid: 47209

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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