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MAY PHARMACY ISLETA

Managed Care Organization Pharmacy

Albuquerque, New Mexico

Provider NPI: 1336296805

Organization Information:
Organization Name:  MAY PHARMACY ISLETA


Practice Location:
1010 BRIDGE BLVD SW  ALBUQUERQUE, NM 87105 US
Tel: 505-873-2377  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0002XSuppliers
Pharmacy
Clinic Pharmacy
N3336C0004XSuppliers
Pharmacy
N3336L0003XSuppliers
Pharmacy
N3336S0011XSuppliers
Pharmacy
N332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
N3336M0003XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
NMPH00003050

Other Provider Identifiers:

IssuerNumberStateType
NCPDP PROVIDER IDENTIFICATION NUMBER320064101
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MANAGED CARE JOBS NM - Page 1



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