MEDICARE: PATRICK S HOGAN RPH

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	30013	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	HSZ196	OTHER	NM	MEDICARE PART B

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881642296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK S HOGAN RPH

Provider Business Mailing Address
First Line	:	HC 75 BX 66
Second Line	:
City	:	CHAMA
State	:	NM
Zip	:	87520
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12000 STONE LAKE ROAD
Second Line	:	JICARILLA SERVICE UNIT
City	:	DULCE
State	:	NM
Zip	:	87528
Country	:	US
Telephone Number	:	575-759-7250
Fax Number	:	575-759-7288

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

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	05/29/2008

Similar Medicare Providers

1750388963 — DULCE HEALTH CENTER
Practice Location Address:

500 NORTH MUNDO
DULCE, NM
87528-0187

Practice Phone: 505-759-3291
Practice Fax: 505-759-3532

1679561955 — EILEEN CLAIRE MONYOK PA-C
Practice Location Address:

500 N MUNDO
DULCE, NM
87528

Practice Phone: 575-759-3291
Practice Fax: 575-759-3651

1508832791 — MRS. KRISTINE S WILLIAMS RD LD
Practice Location Address:

12000 STONE LAKE RD , DULCE HEALTH CENTER
DULCE, NM
87528

Practice Phone: 505-759-3291
Practice Fax: 505-759-7289

1063478618 — DR. MITCHELL R. WILKINSON DDS
Practice Location Address:

PO BOX 187
DULCE, NM
87528-0187

Practice Phone: 575-759-3291
Practice Fax: 575-759-3532

1982653036 — ERIC J POLCZYNSKI RPH
Practice Location Address:

JICARILLA SERVICE UNIT , 12000 STONE LAKE ROAD
DULCE, NM
87528-0187

Practice Phone: 505-759-3291
Practice Fax: 505-759-7288

1235172842 — DR. JOAN E KANDEL DO
Practice Location Address:

90 MEDICINE WAY
DULCE, NM
87528

Practice Phone: 505-360-5995
Practice Fax:

Directions to “ PATRICK S HOGAN RPH” 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.