Organization · Type 2 NPI

Presbyterian Healthcare Services

Clinic Pharmacy · Rio Rancho, NM

NPI number 1144592866 Active

Practice location

2400 Unser Blvd SE
Rio Rancho, NM 87124-3392

Call (505) 253-6015 Map

Mailing address

1100 Central Ave SE
Albuquerque, NM 87106-4930

Specialties and licenses

Taxonomy	Code	License
Clinic Pharmacy Primary	3336C0002X	CL00010824 (NM)

Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

83 other providers at this address

NPI record

NPI: 1144592866
Entity type: Organization (Type 2)
Issued: Jan 27, 2012
Last updated: Jan 27, 2012
Status: Active
Subpart: Yes of Presbyterian Healthcare Services

Other names

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Rust Medical Center Sample Clinic · other name

Authorized official

Matthew Nagy
Pharmacy Director
(505) 841-1872

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1144592866

Presbyterian Healthcare Services's National Provider Identifier is 1144592866, issued on Jan 27, 2012. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Rio Rancho, NM. The record was last updated on Jan 27, 2012.