Addison Drug

LBN: Addison Drug
Addison Drug is an health care organization with primary practice located at 323 Sumner Ave , Fort Sumner NM 88119-0550. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. Addison Drug can be contacted via phone (505) 355-2211, or through Addison, Robert M via phone (505) 355-2211.

Contact Information

Primary practice address
323 Sumner Ave Fort Sumner NM 88119-0550
Phone: (505) 355-2211
Fax: (505) 355-7816
Website:
Map and Directions
Authorized official contact:
Name: Addison, Robert M RPH
Phone: (505) 355-2211

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PH00001147 New Mexico

Profile Details

NPI number 1841219128
LBN Legal business name Addison Drug
DBA Doing business as
Authorized official Addison, Robert M RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841219128 NPPES
New Mexico MEDICAID 56390
New Mexico Other 3202253

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