| Organization Name: | CIBOLA GENERAL HOSPITAL PHCY |
| NPI Number: | 1093024275 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANDREW HALL (DIRECTOR OF PHARMACY) |
| Mailing Address: | 1016 E Roosevelt Ave Grants |
| State: | NM US |
| Postal Code: | 870202118 |
| Phone Number: | 5052875320 |
| Fax Number: | 5052875325 |
| NPI Enumeration Date: | 10/05/2010 |
| NPI Last Update Date: | 10/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336I0012X |
| License Number: | PH00002150 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Institutional Pharmacy |
| Taxonomy Definition: | A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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. |