Lovelace Montgomery Pharmacy

LBN: Lovelace Health Systems Inc
Lovelace Montgomery Pharmacy is an health care organization with primary practice located at 9101 Montgomery Blvd Ne , Albuquerque NM 87111-2405. 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. Lovelace Health Systems Inc can be contacted via phone (505) 727-5930, or through Trom, Brad via phone (505) 727-1299.

Contact Information

Primary practice address
9101 Montgomery Blvd Ne Albuquerque NM 87111-2405
Fax: (505) 727-9073
Website:
Authorized official contact:
Name: Trom, Brad RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X PH00001693 New Mexico

Profile Details

NPI number 1528142668
LBN Legal business name Lovelace Health Systems Inc
DBA Doing business as Lovelace Montgomery Pharmacy
Authorized official Trom, Brad RPH
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 25th, 2006
Last updated Mar 19th, 2014 - about 10 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 1528142668 NPPES
New Mexico MEDICAID 66142
New Mexico Other 2057844

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