Organization
UNM HOSPITAL
Active
Other names
Cancer Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICK THOMAS CROZIER (PHARMACY DIRECTOR)
(505) 589-1689
Entity
Organization
Contact information
Practice address
1201 CAMINO DE SALUD NE, ALBUQUERQUE, NM 87102-4517
(505) 272-1700
(505) 272-2881
Mailing address
MSC 07 4025, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-1700
(505) 272-2881
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
PH00003651
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144251
PK
—
05
—
95131256
—
NM
Enumeration date
03/03/2014
Last updated
10/11/2019
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