Organization
FMC PHARMACY INC
Active
Organization
FMC PHARMACY INC
Active
Other names
FRASER MED CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY CATER RPH (PHARMACY EXECUTIVE)
(925) 895-1506
Entity
Organization
Contact information
Practice address
1676 HOSPITAL DR, SANTA FE, NM 87505-4754
(505) 983-4359
(505) 983-5259
Mailing address
560 N BEVERLY GLEN BLVD, LOS ANGELES, CA 90077-3504
(310) 556-4422
(310) 276-9414
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH00003035
NM
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30300878
—
NM
01
—
3205944
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/10/2006
Last updated
06/04/2010
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