National Provider Identifier Database

SANTA ANA HEALTH CLINIC PHARMACY
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.


Contact Information

SANTA ANA HEALTH CLINIC PHARMACY
02 C DOVE RD
BERNALILLO, NM87004
Phone: 505-867-2497
Fax: 505-867-1526
Website:
Specialty Taxonomy Code
* Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

* Indicates primary specialty

NPI Profile & details for SANTA ANA HEALTH CLINIC PHARMACY

NPI Number 1154453413
Legal business name
LBN
SANTA ANA HEALTH CLINIC PHARMACY
Authorized official DARRELL MILLER - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 03/12/2007
Last updated 02/07/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • NM Medicaid: 11237
  • Other: 3209271 NCPDP PROVIDER IDENTIFICATION NUMBER

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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