Organization
PUEBLO OF SANDIA
Active
Other names
Sandia Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARRIE SARNICKY MBA (DIRECTOR, HEALTH AND SOCIAL SERVICE)
(505) 867-4696
Entity
Organization
Contact information
Practice address
203 SANDIA DAY SCHOOL ROAD, BERNALILLO, NM 87004-7076
(505) 867-4696
(505) 867-4997
Mailing address
481 SANDIA LOOP, BERNALILLO, NM 87004-7076
(505) 867-4696
(505) 867-4997
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00010462
—
NM
01
—
TRZ029
PTAN
—
Enumeration date
02/28/2013
Last updated
10/01/2015
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