La Familia Medical Center Pharmacy

LBN: La Familia Medical Center
La Familia Medical Center Pharmacy is an health care organization with primary practice located at 1035 Alto St , Santa Fe NM 87501-2406. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. La Familia Medical Center can be contacted via phone (505) 955-0322, or through Van Pelt, Brandon via phone (505) 424-5683.

Contact Information

Primary practice address
1035 Alto St Santa Fe NM 87501-2406
Fax: (505) 212-4084
Website:
Authorized official contact:
Name: Van Pelt, Brandon

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1477922409
LBN Legal business name La Familia Medical Center
DBA Doing business as La Familia Medical Center Pharmacy
Authorized official Van Pelt, Brandon
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2015
Last updated Mar 29th, 2024 - about 6 months 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 1477922409 NPPES
New Mexico MEDICAID 90806565

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