Organization
YSLETA DEL SUR PUEBLO
Active
Other names
Ysleta Del Sur Pueblo Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
REASOL A CHINO (DIRECTOR)
(915) 858-1076
Entity
Organization
Contact information
Practice address
9473 SOCORRO RD, EL PASO, TX 79907
(915) 858-1076
Mailing address
9473 SOCORRO RD, EL PASO, TX 79907-6832
(915) 858-1076
(915) 232-9954
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
333600000X
Pharmacy
—
—
Other
Enumeration date
07/12/2022
Last updated
07/05/2023
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