Taos Pharmacy Inc

LBN: Taos Pharmacy Inc
Taos Pharmacy Inc is an health care organization with primary practice located at 622 Paseo Del Pueblo Sur Ste A 5401 Ndcbu, Taos NM 87571-5101. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Taos Pharmacy Inc can be contacted via phone (505) 758-3342, or through Mossman, Jake via phone (505) 758-3342.

Contact Information

Primary practice address
622 Paseo Del Pueblo Sur Ste A 5401 Ndcbu Taos NM 87571-5101
Phone: (505) 758-3342
Fax: (505) 785-2480
Website:
Map and Directions
Authorized official contact:
Name: Mossman, Jake RPH
Phone: (505) 758-3342

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH00001826 New Mexico

Profile Details

NPI number 1336175074
LBN Legal business name Taos Pharmacy Inc
DBA Doing business as
Authorized official Mossman, Jake RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2006
Last updated Sep 13th, 2007 - about 17 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 1336175074 NPPES
New Mexico MEDICAID 64097
New Mexico Other 3207265

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