Lovelace Juan Tabo Pharmacy
LBN: Lovelace Health Systems Inc
Lovelace Juan Tabo Pharmacy is an health care organization with primary practice located at 2121 Juan Tabo Blvd Ne , Albuquerque NM 87112-3307. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Lovelace Health Systems Inc can be contacted via phone (505) 727-5925, or through Trom, Brad via phone (505) 727-1299.
Contact Information
Primary practice address
2121 Juan Tabo Blvd Ne
Albuquerque NM 87112-3307
Phone: (505) 727-5925
Fax: (505) 727-9071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH00001694 | New Mexico |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1174607212 |
|---|---|
| LBN Legal business name | Lovelace Health Systems Inc |
| DBA Doing business as | Lovelace Juan Tabo Pharmacy |
| Authorized official | Trom, Brad RPH |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Mar 19th, 2014 - about 11 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 | 1174607212 | NPPES |
| New Mexico | MEDICAID | 64139 | |
| New Mexico | Other | 2057208 |
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