Organization
LOVELACE HEALTH SYSTEMS INC
Active
Parent organization
LOVELACE HEALTH SYSTEM
Other names
LOVELACE SPECIALTY 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
500 WALTER ST NE, SUITE 202B, ALBUQUERQUE, NM 87102-2534
(505) 727-1299
(505) 727-2990
Mailing address
PO BOX 27803, PHARMACY FINANCE, ALBUQUERQUE, NM 87125-7803
(505) 727-1273
(505) 727-7439
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
PH00003167
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120305
PK
—
05
—
371068
—
NM
Enumeration date
04/30/2009
Last updated
03/19/2014
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