Organization
PRESBYTERIAN MEDICAL SERVICES
Active
Other names
Santa Fe Community Guidance Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L RIEBSOMER (PRESIDENT)
(505) 982-5565
Entity
Organization
Contact information
Practice address
820 PASEO DE PERALTA, SANTA FE, NM 87501-2233
(505) 986-9633
(505) 820-1209
Mailing address
PO BOX 2267, SANTA FE, NM 87504-2267
(505) 982-5565
(505) 992-4990
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
CS00210841
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70298
—
NM
Enumeration date
11/09/2006
Last updated
08/22/2020
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