| 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 |