NPI 1699022798

Wagreens Pharmacy

Organisation Health Maintenance Organization Santa Fe, NM

Practice location

Address: 525 W Zia Rd, Santa Fe, NM 87505-6910
Phone: (505) 820-2196

Authorised official

Name: Derek Twitchell
Title: Registered Pharmacist
Phone: (505) 820-2196

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence RP00007845 (NM)

Other Health Maintenance Organization providers in New Mexico →

Registry record

NPI: 1699022798
Entity type: Organization
NPI issued: 7 Aug 2012
Record last updated: 7 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.