GALLUP INDIAN MED CENTER PHARMACY; NPI #1538298989

Contact Information

GALLUP INDIAN MED CENTER PHARMACY

516 E NIZHONI BLVD
GALLUP, NM 87301-5748

Phone: 505-722-1185
Fax: 505-722-1554
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

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NPI Profile & details for GALLUP INDIAN MED CENTER PHARMACY

NPI # 1538298989

LBN Legal business name GALLUP INDIAN MED CENTER PHARMACY

Authorized official ERICA HARKER - (AREA PHARMACY CONSULTANT)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/03/2007

Last updated 08/05/2025 - About 10 months ago

Identifiers

NM	Medicaid	67566
	Other	2058596	PK

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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