Pueblo of San Felipe
NPI #1467550475 in San Felipe, New Mexico
Provider Information
- NPI Number
- 1467550475
- Entity Type
- Organization
- Organization Name
- Pueblo of San Felipe
- Primary Specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Enumeration Date
- Sep 21, 2006
- Last Updated
- Jun 11, 2018
Practice Location
- Address
- 3 CEDAR ST
- Address 2
- SAN FELIPE PUEBLO
- City
- San Felipe
- State
- New Mexico
- ZIP Code
- 87001
- Phone
- (505) 867-5485
Authorized Official
- Name
- DARYL CANDELARIA, PHARMD RPH
- Title
- TRIBAL ADMIN
- Phone
- (505) 867-3381
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
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