DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1104094234

NPI Code Detail

MEDICARE: NATHAN BLAIR WOOLF PHARMACY INTERN

MEDICARE: NATHAN BLAIR WOOLF PHARMACY INTERN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	IN00002853	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	IN00002853	OTHER	NM	INTERN LICENSE

General Provider Information

NPI Number	:	1104094234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHAN BLAIR WOOLF PHARMACY INTERN

Provider Business Mailing Address
First Line	:	200 TRAMWAY BLVD SE
Second Line	:	SMITH'S PHARMACY
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87123-3934
Country	:	US
Telephone Number	:	505-296-9751
Fax Number	:	505-271-9095

Provider Business Practice Location Address
First Line	:	200 TRAMWAY BLVD SE
Second Line	:	SMITH'S PHARMACY
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87123-3934
Country	:	US
Telephone Number	:	505-296-9751
Fax Number	:	505-271-9095

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2008
Last Update Date	:	02/11/2008

Similar Medicare Providers

1215525902 — AUGUST VOJDANI PA-C
Practice Location Address:

4588 PARADISE BLVD NW , MEDICARE ADVANTAGE CLINIC
ALBUQUERQUE, NM
87114-4105

Practice Phone: 505-998-1840
Practice Fax: 505-998-1841

1013878164 — RUAA ADNAN
Practice Location Address:

200 TRAMWAY BLVD SE
ALBUQUERQUE, NM
87123-3934

Practice Phone: 505-296-9751
Practice Fax: 505-271-9095

1003385139 — THAO NELSON PHARMD
Practice Location Address:

200 TRAMWAY BLVD SE
ALBUQUERQUE, NM
87123-3934

Practice Phone: 505-296-9751
Practice Fax: 505-271-9095

1093093403 — JAMES A LUCERO RPH
Practice Location Address:

200 TRAMWAY BLVD SE
ALBUQUERQUE, NM
87123-3934

Practice Phone: 505-296-9751
Practice Fax: 505-271-9095

1710902341 — SMITHS FOOD & DRUG CENTERS INC
Practice Location Address:

200 TRAMWAY BLVD SE
ALBUQUERQUE, NM
87123-3934

Practice Phone: 505-296-9751
Practice Fax: 505-271-9095

1053599712 — ARMANDO J ATENCIO SR. RPH
Practice Location Address:

200 TRAMWAY BLVD SE
ALBUQUERQUE, NM
87123-3934

Practice Phone: 505-296-9751
Practice Fax:

Directions to “ NATHAN BLAIR WOOLF PHARMACY INTERN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.