Organization
ZIA INDIAN HEALTH CLINIC PHARMACY
Active
Other names
ZIA INDIAN HEALTH CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL MILLER (CHIEF EXECUTIVE OFFICER)
(505) 248-7773
Entity
Organization
Contact information
Practice address
155B CAPITOL SQUARE DR, SAN YSIDRO, NM 87053-6013
(505) 867-5258
(505) 771-9452
Mailing address
PO BOX 95459, CLEVELAND, OH 44101-0033
(505) 248-7771
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
05
—
11115
—
NM
01
—
3209269
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/22/2007
Last updated
02/07/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us