Organization
LAGUNA HEALTHCARE CORPORATION
Active
Parent organization
LAGUNA HEALTHCARE CORP
Other names
Laguna Community Health Center Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAGUNA HEALTHCARE CORP
Authorized official
CASSIDY HITCHCOCK PHARMD (PHARMACIST)
(505) 431-0750
Entity
Organization
Contact information
Practice address
6 BASSWOOD RD, PARAJE, NM 87007
(505) 431-0750
(505) 431-0749
Mailing address
PO BOX 1407, LAGUNA, NM 87026-1407
(505) 431-0711
(505) 431-0749
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
—
—
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02239540
—
NM
Enumeration date
11/16/2020
Last updated
03/05/2026
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