Acoma Canoncito Laguna Pharmacy
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Acoma, NM. Organization (NPI-2).
NPI number1881727873
StatusActive
Last updated in NPPESFeb 10, 2025
Details
- NPI
- 1881727873
- Entity type
- Organization (NPI-2)
- Legal business name
- Acoma Canoncito Laguna Pharmacy
- Organization subpart
- No
- Enumeration date
- Mar 13, 2007
- Certification date
- Feb 10, 2025
- Last updated
- Feb 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | – | – | Yes |
| 3336C0002X | Pharmacy, Clinic Pharmacy | – | – | |
| 3336I0012X | Pharmacy, Institutional Pharmacy | – | – | |
| 3336S0011X | Pharmacy, Specialty Pharmacy | – | – |
Other names
- Acl Pharmacy (Doing Business As)
Practice location
80 B Veterans BlvdAcoma, NM 87034-8703
Phone 505-552-5393 · Fax 505-552-5484
Mailing address
Po Box 95475Cleveland, OH 44101-0033
Phone 505-552-5394 · Fax 505-552-5464
Authorized official
Inna Voinich
Chief Pharmacist
5055525393
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