Ft Bayard Medical Center Department of Health
NPI #1396106670 in Santa Clara, New Mexico
Provider Information
- NPI Number
- 1396106670
- Entity Type
- Organization
- Organization Name
- Ft Bayard Medical Center Department of Health
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Mar 14, 2016
- Last Updated
- Mar 14, 2016
Practice Location
- Address
- 41 FT. BAYARD RD.
- City
- Santa Clara
- State
- New Mexico
- ZIP Code
- 88026
- Phone
- (575) 537-8745
Authorized Official
- Name
- MR. JON MARK BAILEY, RPH
- Title
- DIRECTOR OF PHARMACY
- Phone
- (575) 537-8745
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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