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Organization

YSLETA DEL SUR PUEBLO

Active
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Organization

YSLETA DEL SUR PUEBLO

Active
Other names
Ysleta Del Sur Pueblo Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
REASOL A CHINO (DIRECTOR)
(915) 858-1076
Entity
Organization

Contact information

Practice address
9473 SOCORRO RD, EL PASO, TX 79907
(915) 858-1076
Mailing address
9473 SOCORRO RD, EL PASO, TX 79907-6832
(915) 858-1076
(915) 232-9954

Taxonomy

Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
333600000X
Pharmacy
—
—

Other

Enumeration date
07/12/2022
Last updated
07/05/2023
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