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OLIVE TREE PHARMACY CO. NPI 1053850784


NPI Information

NPI: 1053850784
Provider Name: OLIVE TREE PHARMACY, CO.

Other Name: OLIVE TREE COMPOUNDING PHARMACY

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1920 WESTSIDE BLVD SE STE B
RIO RANCHO, NM
ZIP 87124
Phone: (505) 738-3328
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OLIVE TREE PHARMACY, CO. is a clinic center in Rio Rancho, NM. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). OLIVE TREE PHARMACY, CO. NPI is 1053850784. The provider is registered as an organization entity type.
The provider Other Name Is Olive Tree Compounding Pharmacy.

The provider's business location address is:

1920 WESTSIDE BLVD SE STE B
RIO RANCHO, NM
ZIP 87124-893
Phone: (505) 738-3328

The provider's authorized official is Ndidiamaka Okpareke .
The authorized official title is President And Owner and has the following contact phone number (706) 509-1012.

The enumeration date for this NPI number is 2/14/2017 and was last updated on 2/14/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterPH00004369NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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