Organization
SANDIA PHS HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEDRO SOLIS PHARM.D. (PHARMACY DIRECTOR, ACTING)
(505) 248-4028
Entity
Organization
Contact information
Practice address
481 SANDIA LOOP, BERNALILLO, NM 87004-7076
(505) 248-4028
Mailing address
481 SANDIA LOOP, BERNALILLO, NM 87004-7076
(505) 248-4028
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H7890
—
NM
Enumeration date
04/06/2007
Last updated
08/22/2020
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