Organization
SANTA DOMINGO IHS PHARMACY
Active
Other names
SANTA DOMINGO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA SCHWEITZER PHARMD (IHS PHARMACY CONSULTANT)
(602) 364-5277
Entity
Organization
Contact information
Practice address
340 SAN ILDEFONSO ST, SANTA DOMINGO, NM 87052
(505) 465-3060
(505) 465-1155
Mailing address
PO BOX 31001-0664, PASADENA, CA 91110-0664
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
01
—
3210399
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
B3725
—
NM
Enumeration date
03/26/2007
Last updated
04/05/2010
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