Eugene L Gutierrez in Grants - Pharmacy

Eugene L Gutierrez - NPI 1407986680

Eugene L Gutierrez is a Pharmacy in Grants, New Mexico. Eugene L Gutierrez practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Eugene L Gutierrez is 1407986680. The last update date is 2010-04-26.

Eugene L Gutierrez's current location address is 1000 E Roosevelt Ave, Grants, New Mexico. You can contact this provider via phone number 5052873913 and fax number 5052874379. The mailing address for Eugene L Gutierrez is 1000 E Roosevelt Ave, Grants, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Organization Eugene L Gutierrez
Address 1000 E Roosevelt Ave, Grants, New Mexico
Phone Number 5052873913
Fax Number 5052874379
Sole Proprietor --
Credentials --

Authorized Official

Title or Position RPH PHARMA
Authorized Official Name Smith R. Bruce
Credentials RPH
Telephone Number 5052873913

NPI Number Detail

NPI Number 1407986680
Provider Enumeration Date 2007-03-06
Last Updated Date 2010-04-26

Provider Mailing Address Detail

Address 1000 E Roosevelt Ave
City Grants
State New Mexico (NM)
Post Code 870202118
Phone Number 5052873913
Fax Number 5052874379

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Licence No PH00001734
Definition:
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3204219 NM NAPB

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FAQs about Eugene L Gutierrez

What is the unique provider identifier assigned to Eugene L Gutierrez?

The Eugene L Gutierrez has been issued the NPI (National Provider Identifier) 1407986680 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Eugene L Gutierrez is geographically located?

The Eugene L Gutierrez is physically situated at the following location: 1000 E Roosevelt Ave, Grants, NM, 870202118.

What is Eugene L Gutierrez's specialized field of practice, and what is the corresponding taxonomy classification code?

The Eugene L Gutierrez's area of specialization is Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 333600000X.

When did Eugene L Gutierrez receive its 1407986680 assignment?

The Eugene L Gutierrez was assigned its 1407986680 on 2007-03-06, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Eugene L Gutierrez, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Eugene L Gutierrez, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-04-26.

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