Corrales Pharmacy
LBN: Complete Care Pharmacy Llc
Corrales Pharmacy is an health care organization with primary practice located at 4940 Corrales Rd Suite 200, Corrales NM 87048-8673. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Complete Care Pharmacy Llc can be contacted via phone (505) 897-3784, or through Gallegos, Mike via phone (505) 897-3784.
Contact Information
Primary practice address
4940 Corrales Rd Suite 200
Corrales NM 87048-8673
Phone: (505) 897-3784
Fax: (505) 897-3795
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH00004048 | New Mexico |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1285924803 |
|---|---|
| LBN Legal business name | Complete Care Pharmacy Llc |
| DBA Doing business as | Corrales Pharmacy |
| Authorized official | Gallegos, Mike PHARMD,RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 15th, 2011 |
| Last updated | Jan 13th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285924803 | NPPES |
| Other | 2142883 | PK | |
| MEDICAID | 96472031 | PK |
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