Organization
PRESBYTERIAN MEDICAL SERVICES
Active
Other names
Cuba Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG SMITH (EXECUTIVE VICE PRESIDENT)
(505) 982-5565
Entity
Organization
Contact information
Practice address
6349 MAIN ST, CUBA, NM 87013
(505) 289-3291
(505) 289-3648
Mailing address
PO BOX 2267, SANTA FE, NM 87504-2267
(505) 982-5565
(505) 992-4990
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
CS00005583
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47209
—
NM
Enumeration date
11/07/2006
Last updated
01/09/2021
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