Joe's Pharmacy L.l.c., NPI 1427004449
Community/Retail Pharmacy in Peralta, NM, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1427004449
NPI Entity Type Organization
Provider Name Joe's Pharmacy L.l.c.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 3646 Highway 47, Peralta, NM, US
Provider Mailing Address 3646 Highway 47, Peralta, NM, US, 870428468
Is Sole Proprietor? No
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Organization Official

Official Name MR. Michael Leon Otero
Official Position MANAGING MEMBER/OWNER
Phone 505-869-3646

Primary Taxonomy

Taxonomy Code

3336C0003X

Taxonomy Name Community/Retail Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 2411
License State NM
Description A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Business Address

Joe's Pharmacy L.l.c.
3646 Highway 47

Peralta, NM, US

Phone: 505-869-3646
Fax: 505-869-2070

Mailing Address

Joe's Pharmacy L.l.c.
3646 Highway 47
Peralta, NM, US
ZIP 870428468
Phone: 505-869-3646
Fax: 505-869-2070

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
71907564 NM MEDICAID 05
96079355 NM MEDICAID 05

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