| NPI | 1609116573 |
|---|---|
| Doing Business As | SANDIA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CARRIE SARNICKY Director, Health And Social Service 505-867-4696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2015-10-01 |