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General NPI Number Information
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NPI Number | 1528445053
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF NM HOSPITAL RETAIL PHARMACY
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Dates
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Enumeration Date | 05/05/2015
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Last Update Date | 05/05/2015
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Provider Practice Location Address
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Address Line | 2211 LOMAS BLVD NE ATTN: INPATIENT PHARMACY
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-2719
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Country | US
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Telephone | 505-272-2035
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Fax | 505-272-2037
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Provider Business Mailing Address
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Address Line | 2211 LOMAS BLVD NE ATTN: INPATIENT PHARMACY
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-2719
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Country | US
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Telephone | 505-272-2035
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Fax | 505-272-2037
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY OPERATION
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Name | WILLIAM LONG
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Credential |
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Telephone | 505-272-2035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | PH00003295
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License Number State | NM
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