Organization
SANTA FE INDIAN HOSPITAL PHARMACY
Active
Other names
SANTA FE INDIAN HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL SANDOVAL (ACCOUNTING)
(505) 988-9821
Entity
Organization
Contact information
Practice address
1700 CERRILLOS RD, SANTA FE, NM 87505-3554
(505) 946-9389
(505) 982-7065
Mailing address
SANTA FE INDIAN HOSPITAL, PO BOX 395446, CLEVELAND, OH 44135
(412) 644-7702
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
—
3209219
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
B3759
—
NM
05
—
H1232
—
NM
Enumeration date
03/12/2007
Last updated
07/03/2025
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