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Organization
GALLUP INDIAN MED CENTER PHARMACY
Active
Organization
GALLUP INDIAN MED CENTER PHARMACY
Active
Other names
GALLUP INDIAN MED CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA HARKER PHARMD (AREA PHARMACY CONSULTANT)
(928) 871-5873
Entity
Organization
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1185
(505) 722-1554
Mailing address
PO BOX 31001-0650, PASADENA, CA 91110-0650
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2058596
PK
—
05
—
67566
—
NM
Enumeration date
03/03/2007
Last updated
08/05/2025
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