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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1010 BRIDGE BLVD SW ALBUQUERQUE, NM 87105 US
Tel: 505-873-2377 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0002X | Suppliers Pharmacy Clinic Pharmacy | ||
N | 3336C0004X | Suppliers Pharmacy | ||
N | 3336L0003X | Suppliers Pharmacy | ||
N | 3336S0011X | Suppliers Pharmacy | ||
N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | ||
N | 3336M0003X | Suppliers Pharmacy | ||
Y | 3336C0003X | Suppliers Pharmacy | NM | PH00003050 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 3200641 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin