National Provider Identifier Database

SANTA DOMINGO IHS 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 DOMINGO IHS PHARMACY
340 SAN ILDEFONSO ST
SANTO DOMINGO PUEBLO, NM87052
Phone: 505-465-3060
Fax: 505-465-1155
Website:
Specialty Taxonomy Code
* Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

* Indicates primary specialty

NPI Profile & details for SANTA DOMINGO IHS PHARMACY

NPI Number 1326165994
Legal business name
LBN
SANTA DOMINGO IHS PHARMACY
Authorized official PAMELA SCHWEITZER - (IHS PHARMACY CONSULTANT)
Entity Organization
Organization subpart No
Enumeration date 03/26/2007
Last updated 04/05/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • NM Medicaid: B3725
  • Other: 3210399 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.

Reviews for SANTA DOMINGO IHS PHARMACY

There are currently no reviews for SANTA DOMINGO IHS PHARMACY


NPIdb - Home
v2.201