Organization Name: | PRESBYTERIAN MEDICAL SERVICES |
NPI Number: | 1205905023 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES L RIEBSOMER (PRESIDENT) |
Mailing Address: | 6349 Main St Cuba |
State: | NM US |
Postal Code: | 87013 |
Phone Number: | 5052893291 |
Fax Number: | 5052893648 |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0002X |
License Number: | CS00005583 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Clinic Pharmacy |
Taxonomy Definition: | A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |