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NPI Code Detail

MEDICARE: BEN ARCHER HEALTH CENTER

MEDICARE: BEN ARCHER HEALTH CENTER
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
1333600000XPharmacy
23336C0003XCommunity/Retail PharmacyPH00003474NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12139148OTHERPK

General Provider Information

NPI Number : 1396095386
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEN ARCHER HEALTH CENTER
Provider Business Mailing Address
First Line : PO BOX 370
Second Line :
City : HATCH
State : NM
Zip : 87937-0370
Country : US
Telephone Number : 575-267-3088
Fax Number : 575-267-1747
Provider Business Practice Location Address
First Line : 1998 N MOTEL BLVD
Second Line : BUILDING B
City : LAS CRUCES
State : NM
Zip : 88007-4100
Country : US
Telephone Number : 575-528-7160
Fax Number : 575-527-9232
Authorized Official
Title or Position : PHARMACY DIRECTOR
Name : SARAH HARRINGTON
Credential : BS OF PHARMACY
Telephone Number : 575-528-7160
Provider Enumeration Date : 09/17/2012
Last Update Date : 04/20/2017

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Directions to “BEN ARCHER HEALTH CENTER ” Practice Location

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