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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.

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Contact Information

SANTA DOMINGO IHS PHARMACY
340 SAN ILDEFONSO ST
SANTO DOMINGO PUEBLO, NM  87052
 Phone: 505-465-3060
 Fax: 505-465-1155
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

 332800000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for SANTA DOMINGO IHS PHARMACY

NPI # 1326165994
LBN Legal business name SANTA DOMINGO IHS PHARMACY
Authorized official PAMELA SCHWEITZER - (IHS PHARMACY CONSULTANT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/26/2007
Last updated 04/05/2010 - About 16 years ago
Identifiers
NM Medicaid B3725
Other 3210399 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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