Wagreens Pharmacy

LBN: Wagreens Pharmacy
Wagreens Pharmacy is an health care organization with primary practice located at 525 W Zia Rd , Santa Fe NM 87505-6910. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Wagreens Pharmacy can be contacted via phone (505) 820-2196, or through Twitchell, Derek via phone (505) 820-2196.

Contact Information

Primary practice address
525 W Zia Rd Santa Fe NM 87505-6910
Fax:
Website:
Authorized official contact:
Name: Twitchell, Derek

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X RP00007845 New Mexico

Profile Details

NPI number 1699022798
LBN Legal business name Wagreens Pharmacy
DBA Doing business as
Authorized official Twitchell, Derek
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2012
Last updated Aug 7th, 2012 - about 12 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 1699022798 NPPES
New Mexico Other RP00007845 NEW MEXICO BOARD OF PHARMACY

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