National Provider Identifier Database

ALBUQUERQUE INDIAN HEALTH 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

ALBUQUERQUE INDIAN HEALTH PHARMACY
801 VASSAR DR NE
ALBUQUERQUE, NM87106-2725
Phone: 505-248-7640
Fax: 505-248-7642
Website:
Specialty Taxonomy Code
* Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

* Indicates primary specialty

NPI Profile & details for ALBUQUERQUE INDIAN HEALTH PHARMACY

NPI Number 1578692828
Legal business name
LBN
ALBUQUERQUE INDIAN HEALTH PHARMACY
Authorized official DARRELL MILLER - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 03/05/2007
Last updated 02/07/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • NM Medicaid: 74605
  • Other: 3209283 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 ALBUQUERQUE INDIAN HEALTH PHARMACY

There are currently no reviews for ALBUQUERQUE INDIAN HEALTH PHARMACY


NPIdb - Home
v2.201