NPI | 1407979008 |
---|---|
Doing Business As | PUEBLO OF ISLETA PHARMACY |
Entity Type | Organization |
Authorized Contact | VOLELLE K ZAMORA CEO 505-869-4094 |
Organization Subpart ? | No |
Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: NM 501C) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2017-05-17 |