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Organization

LOVELACE HEALTH SYSTEMS INC

Active
Parent organization
LOVELACE HEALTH SYSTEM
Other names
LOVELACE TRAMWAY PHARMACY
Organization subpart
Yes

Provider details

NPI number
Legal business name
LOVELACE HEALTH SYSTEM
Authorized official
BRAD TROM RPH (CEO)
(505) 727-1299
Entity
Organization

Contact information

Practice address
13701 ENCANTADO RD NE, ALBUQUERQUE, NM 87123-2275
(505) 727-5945
(505) 727-9072
Mailing address
PO BOX 27803, ATTN: PHARMACY FINANCE, ALBUQUERQUE, NM 87125-7803
(505) 262-7861
(505) 262-7592

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PH00001683
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2057722
PK
05
65615
NM
Enumeration date
10/25/2006
Last updated
03/19/2014
About Stedi
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