| Patrick S Hogan, RPH | |
|
12000 Stone Lake Road, Jicarilla Service Unit, Dulce, NM 87528 | |
| (575) 759-7250 | |
| (575) 759-7288 |
| Full Name | Patrick S Hogan |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 12000 Stone Lake Road, Dulce, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881642296 | NPI | - | NPPES |
| 000K3526 | Medicaid | NM | |
| HSZ196 | Other | NM | MEDICARE PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 30013 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick S Hogan, RPH Hc 75 Bx 66, Chama, NM 87520 Ph: () - | Patrick S Hogan, RPH 12000 Stone Lake Road, Jicarilla Service Unit, Dulce, NM 87528 Ph: (575) 759-7250 |
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 | |
Eric J Polczynski, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: Jicarilla Service Unit, 12000 Stone Lake Road, Dulce, NM 87528 Phone: 505-759-3291 Fax: 505-759-7288 |