SANDIA HEALTH CLINIC PHARMACY
481 Sandia Loop
Bernalillo, NM 87004
505-867-4487
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0002X | Suppliers - Pharmacy - Clinic Pharmacy | ||
Y | 332800000X | Suppliers - Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
H7890 | NM | MEDICAID | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 3209295 | OTHER | |
10462 | NM | MEDICAID |