| Eric J Polczynski, RPH | |
|
Jicarilla Service Unit, 12000 Stone Lake Road, Dulce, NM 87528-0187 | |
| (505) 759-3291 | |
| (505) 759-7288 |
| Full Name | Eric J Polczynski |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | Jicarilla Service Unit, Dulce, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982653036 | NPI | - | NPPES |
| HSZ196 | Other | NM | MEDICARE PART B |
| 000K3526 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | RP0410102 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Eric J Polczynski, RPH Po Box 187, 12000 Stone Lake Road, Dulce, NM 87528-0187 Ph: (505) 759-3291 | Eric J Polczynski, RPH Jicarilla Service Unit, 12000 Stone Lake Road, Dulce, NM 87528-0187 Ph: (505) 759-3291 |
Inna Voinich, PHARM D Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 12000 Stone Lake Road, Dulce, NM 87528 Phone: 575-759-7250 Fax: 575-759-7288 | |
Samuel Taylor Cropp, PHARM.D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 500 N Mundo Dr, Dulce, NM 87528 Phone: 575-759-7250 | |
John E Shumack, PHARMACIST Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 12000 Stone Lake Rd, Dulce, NM 87528 Phone: 575-759-7250 Fax: 575-159-7250 | |
Dr. Amit M Patel, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 500 Mundo Rd, Dulce, NM 87528 Phone: 575-759-3291 | |
Patrick S Hogan, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 12000 Stone Lake Road, Jicarilla Service Unit, Dulce, NM 87528 Phone: 575-759-7250 Fax: 575-759-7288 |