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Contact Information

SANTA CLARA IHS PHARMACY
ROUTE 5
ESPAÑOLA, NM87532-9614
 Phone: 505-753-9421
 Fax: 505-753-5039
 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 CLARA IHS PHARMACY

NPI # 1932231941
LBN Legal business name SANTA CLARA IHS PHARMACY
Authorized official JAMES CUMMINGS - (PHARMACY PROGRAM SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/12/2007
Last updated 09/21/2016 - About 10 years ago
Identifiers
NM Medicaid B3736
Other 2058722 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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