First Nations Community Healthsource Pharmacy

NPI 1750778254 - Pharmacy - 3336C0003X

NPI Details
NPI 1750778254
Enumeration Date 04/22/2015
Last Updated 04/22/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name LINDA LINDA
Position CHIEF EXECUTIVE OFFICER
Phone (505) 262-2481
Fax
Practice Location
5608 ZUNI RD SE
ALBUQUERQUE NM, 87108-2926, US
Phone (505) 262-2481
Fax
Business Location
5608 ZUNI RD SE
ALBUQUERQUE NM, 87108-2926, US
Phone (505) 262-2481
Fax
Toxanomy
Taxonomy Code 3336C0003X
License State New Mexico
License Number PH00003558
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According to our database, First Nations Community Healthsource Pharmacy NPI is 1750778254, taxonomy code is 3336C0003X and license number is PH00003558, license state is located at New Mexico. First Nations Community Healthsource Pharmacy physically located at 5608 Zuni Rd Se, Albuquerque NM, 87108-2926. NPI Number 1033115704 has the healthcare provider type.

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1750778254 NPI number is provided on an as is basis without warranty of any kind. 1750778254 is maintained by the National Plan & Provider Enumeration System. The contents of First Nations Community Healthsource Pharmacy are for informational purposes only.