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General NPI Number Information
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NPI Number | 1932400397
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Entity Type | Organization
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Legal Business Name | PRESBYTERIAN HEALTHCARE SERVICES
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Dates
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Enumeration Date | 11/16/2010
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Last Update Date | 05/18/2023
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Provider Practice Location Address
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Address Line | 4580 PARADISE BLVD NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87114-4105
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Country | US
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Telephone | 505-823-8800
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Fax | 866-248-0801
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Provider Business Mailing Address
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Address Line | 4580 PARADISE BLVD NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87114-4105
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Country | US
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Telephone | 505-823-8800
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Fax | 866-248-0801
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Authorized Official
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Title or Position | VP, PHARMACY AND INFUSION SERVICES
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Name | ERICA DOWNING
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Credential | PHARM D
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Telephone | 505-724-8994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | PH00003276
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License Number State | NM
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