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NPI Code Detail

MEDICARE: PRESBYTERIAN HEALTHCARE SERVICES

MEDICARE: PRESBYTERIAN HEALTHCARE SERVICES
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
13336C0002XClinic PharmacyCL00010824NM

General Provider Information

NPI Number : 1144592866
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRESBYTERIAN HEALTHCARE SERVICES
Provider Business Mailing Address
First Line : 1100 CENTRAL AVE SE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87106-4930
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2400 UNSER BLVD SE
Second Line :
City : RIO RANCHO
State : NM
Zip : 87124-3392
Country : US
Telephone Number : 505-253-6015
Fax Number :
Authorized Official
Title or Position : PHARMACY DIRECTOR
Name : MATTHEW NAGY
Credential :
Telephone Number : 505-841-1872
Provider Enumeration Date : 01/27/2012
Last Update Date : 01/27/2012

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Directions to “PRESBYTERIAN HEALTHCARE SERVICES ” Practice Location

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