Organization
FIRST NATIONS COMMUNITY HEALTHSOURCE PHARMACY
Active
Parent organization
FIRST NATIONS COMMUNITY HEALTHSOURCE
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST NATIONS COMMUNITY HEALTHSOURCE
Authorized official
MRS. LINDA SON STONE (CHIEF EXECUTIVE OFFICER)
(505) 262-6546
Entity
Organization
Contact information
Practice address
5608 ZUNI RD SE, ALBUQUERQUE, NM 87108-2926
(505) 262-2481
Mailing address
5608 ZUNI RD SE, ALBUQUERQUE, NM 87108-2926
(505) 262-2481
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH00003558
NM
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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