Organization
SOUTHWEST C A R E CENTER
Active
Organization
SOUTHWEST C A R E CENTER
Active
Other names
Southwest CARE Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY THOMAS (CEO)
(505) 989-8200
Entity
Organization
Contact information
Practice address
649 HARKLE RD STE C, SANTA FE, NM 87505-4765
(505) 989-8154
(505) 216-0154
Mailing address
649 HARKLE RD STE C, SANTA FE, NM 87505-4765
(505) 989-8154
(505) 216-0154
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH00003065
NM
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2118263
PK
—
05
—
K5766
—
NM
Enumeration date
01/12/2009
Last updated
04/20/2016
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