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Organization
PUEBLO OF SANDIA
Active
Organization
PUEBLO OF SANDIA
Active
Other names
Sandia Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARRIE SARNICKY MBA (DIRECTOR, HEALTH AND SOCIAL SERVICE)
(505) 867-4696
Entity
Organization
Contact information
Practice address
203 SANDIA DAY SCHOOL ROAD, BERNALILLO, NM 87004-7076
(505) 867-4696
(505) 867-4997
Mailing address
481 SANDIA LOOP, BERNALILLO, NM 87004-7076
(505) 867-4696
(505) 867-4997
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
05
—
00010462
—
NM
01
—
TRZ029
PTAN
—
Enumeration date
02/28/2013
Last updated
10/01/2015
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