Organization · Type 2 NPI
Crownpoint Health Care Pharmacy
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Crownpoint, NM
Practice location
Hwy Jct 57 Rt 9
Crownpoint, NM 87313-0358
Fax (505) 786-6440
Mailing address
Pharmacy Dept, PO Box 358
Crownpoint, NM 87313-0358
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary | 332800000X | NM5099 (NM) |
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.
About NPI 1023148608
Crownpoint Health Care Pharmacy's National Provider Identifier is 1023148608, issued on Mar 6, 2007. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Crownpoint, NM. The record was last updated on Mar 5, 2013.