MEDICARE: PHARMCARE USA OF NEW MEXICO LLC

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	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1073384640
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMCARE USA OF NEW MEXICO LLC

Provider Business Mailing Address
First Line	:	PO BOX 10
Second Line	:
City	:	HYDRO
State	:	OK
Zip	:	73048-0010
Country	:	US
Telephone Number	:	866-219-3619
Fax Number	:

Provider Business Practice Location Address
First Line	:	8500 JEFFERSON ST NE STE D
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87113-1884
Country	:	US
Telephone Number	:	505-856-1660
Fax Number	:	505-856-7141

Authorized Official
Title or Position	:	CEO
Name	:	BARNEY KENT ABBOTT
Credential	:
Telephone Number	:	405-204-9783

Provider Enumeration Date	:	01/12/2024
Last Update Date	:	01/12/2024

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Directions to “PHARMCARE USA OF NEW MEXICO LLC ” Practice Location

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