National Provider Identifier Database

GALLUP INDIAN MED CENTER 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

GALLUP INDIAN MED CENTER PHARMACY
516 E NIZHONI BLVD
GALLUP, NM87301-5748
Phone: 505-722-1185
Fax: 505-722-1554
Website:
Specialty Taxonomy Code
* Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

* Indicates primary specialty

NPI Profile & details for GALLUP INDIAN MED CENTER PHARMACY

NPI Number 1538298989
Legal business name
LBN
GALLUP INDIAN MED CENTER PHARMACY
Authorized official ERICA HARKER - (AREA PHARMACY CONSULTANT)
Entity Organization
Organization subpart No
Enumeration date 03/03/2007
Last updated 08/05/2025 - About 10 months ago
Sole proprietor1 Not specified
Identifiers
  • NM Medicaid: 67566
  • Other: 2058596 PK

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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