Christus St. Vincent Outpatient Pharmacy

LBN: St Vincent Hospital
Christus St. Vincent Outpatient Pharmacy is an health care organization with primary practice located at 465 Saint Michaels Dr Ste 112 , Santa Fe NM 87505-7621. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. St Vincent Hospital can be contacted via phone (505) 913-5000, or through Canby, Rick via phone (505) 913-5000.

Contact Information

Primary practice address
465 Saint Michaels Dr Ste 112 Santa Fe NM 87505-7621
Fax: (505) 913-3698
Website:
Authorized official contact:
Name: Canby, Rick RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH00004173 New Mexico
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1144689514
LBN Legal business name St Vincent Hospital
DBA Doing business as Christus St. Vincent Outpatient Pharmacy
Authorized official Canby, Rick RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2016
Last updated Jul 19th, 2018 - about 6 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 1144689514 NPPES
New Mexico MEDICAID 47705558
New Mexico Other 2157220

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