Healthcare Provider Details

I. General information

NPI: 1497880470
Provider Name (Legal Business Name): SHARE N CARE PHARMACY & MEDICAL SUPPLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 DALIES AVE
BELEN NM
87002-3617
US

IV. Provider business mailing address

701 DALIES AVE
BELEN NM
87002-3617
US

V. Phone/Fax

Practice location:
  • Phone: 505-865-7471
  • Fax: 505-864-6535
Mailing address:
  • Phone: 505-865-7471
  • Fax: 505-864-6535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MS. DESIREE HODGES
Title or Position: BUSINESS MANAGER
Credential:
Phone: 505-864-7471