Organization
UNM HOSPITAL
Active
Organization
UNM HOSPITAL
Active
Other names
North Valley Center for Family and Community Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
FRIEDA ORTEGA (DIRECTOR OF PHARMACY)
(505) 272-0526
Entity
Organization
Contact information
Practice address
3401 4TH ST NW, STE 106, ALBUQUERQUE, NM 87107-2423
(505) 994-5353
Mailing address
3401 4TH ST NW, STE 106, ALBUQUERQUE, NM 87107-2423
(505) 994-5353
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH00003999
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152895
PK
—
Enumeration date
07/09/2015
Last updated
02/20/2017
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