Organization
ST VINCENT HOSPITAL
Active
Organization
ST VINCENT HOSPITAL
Active
Other names
CHRISTUS St. Vincent Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RICK CANBY RPH (MANAGER)
(505) 913-5000
Entity
Organization
Contact information
Practice address
465 SAINT MICHAELS DR STE 112, SANTA FE, NM 87505-7621
(505) 913-5000
(505) 913-3698
Mailing address
465 SAINT MICHAELS DR STE 112, SANTA FE, NM 87505-7621
(505) 913-5000
(505) 913-3698
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH00004173
NM
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157220
PK
—
05
—
47705558
—
NM
Enumeration date
02/15/2016
Last updated
07/19/2018
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