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General NPI Number Information
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NPI Number | 1982555363
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Entity Type | Organization
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Legal Business Name | PHC-LAS CRUCES INC. DBA MEMORIAL MEDICAL CENTER INPATIENT PHARMACY
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 2450 S TELSHOR BLVD GROUND FLOOR, INPATIENT PHARMACY
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City | LAS CRUCES
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State | NM
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Zip | 88011-5069
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Country | US
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Telephone | 724-554-9566
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Fax |
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Provider Business Mailing Address
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Address Line | 2450 S TELSHOR BLVD GROUND FLOOR, INPATIENT PHARMACY
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City | LAS CRUCES
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State | NM
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Zip | 88011-5069
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Country | US
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Telephone | 724-554-9566
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Fax |
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Authorized Official
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Title or Position | CPO
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Name | DR. ALFRED ADAM L'ALTRELLI
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Credential | PHARMD
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Telephone | 575-521-5541
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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 |
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License Number State |
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