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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