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PHC- LOS ALAMOS INC NPI 1821130626


NPI Information

NPI: 1821130626
Provider Name: PHC- LOS ALAMOS INC

Doing Business As: LOS ALAMOS MEDICAL CENTER OUTPATIENT PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
3917 WEST RD
LOS ALAMOS, NM
ZIP 87544
Phone: (505) 661-9560
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PHC- LOS ALAMOS INC is a clinic pharmacy pharmacy in Los Alamos, NM. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. PHC- LOS ALAMOS INC NPI is 1821130626. The provider is registered as an organization entity type.
The provider Is Doing Business As Los Alamos Medical Center Outpatient Pharmacy.

The provider's business location address is:

3917 WEST RD
LOS ALAMOS, NM
ZIP 87544-275
Phone: (505) 661-9560
Fax: (505) 661-9599

The provider's authorized official is Bruce Cromer .
The authorized official title is Director Of Pharmacy and has the following contact phone number (505) 661-9568.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 9/3/2010.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0002XPharmacyClinic PharmacyPH00002421NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13202859OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
202504375MEDICAIDNEW MEXICO

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: 5/5/2024

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