Organization
NAMBE DRUGS INC
Active
Other names
NAMBE DRUGS INC
Organization subpart
No
Provider details
NPI number
Authorized official
HERMAN TRUJILLO (PIC)
(505) 455-2256
Entity
Organization
Contact information
Practice address
70 CITIES OF GOLD RD, SANTA FE, NM 87506-0938
(505) 455-2256
(505) 455-7929
Mailing address
70 CITIES OF GOLD RD, SANTA FE, NM 87506-0938
(505) 455-2256
(505) 455-7929
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH00001170
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3204358
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
57927
—
NM
Enumeration date
03/07/2007
Last updated
09/04/2009
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