Zia Indian Health Clinic Pharmacy
NPI #1225155666 in San Ysidro, New Mexico
Provider Information
- NPI Number
- 1225155666
- Entity Type
- Organization
- Organization Name
- Zia Indian Health Clinic Pharmacy
- Primary Specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Enumeration Date
- Mar 22, 2007
- Last Updated
- Feb 7, 2025
Practice Location
- Address
- 155B CAPITOL SQUARE DR
- City
- San Ysidro
- State
- New Mexico
- ZIP Code
- 87053-6013
- Phone
- (505) 867-5258
Authorized Official
- Name
- DARRELL MILLER
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (505) 248-7773
Specialties & Taxonomy Codes
| Specialty |
|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
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