Sierra Blanca Pharmacy Llc
Community/Retail Pharmacy
1206 Mechem Dr, Ruidoso
New Mexico, 88345-7206
575-258-2456 575-258-2465
Sierra Blanca Pharmacy Llc is a Community/Retail Pharmacy in Ruidoso, New Mexico. It is located at 1206 Mechem Dr, Ruidoso and it's customer support contact number is 575-258-2456. The authorized person of Sierra Blanca Pharmacy Llc is Chris Woodul who is Rph, Parmacist In Charge of the pharmacy and his contact number is 575-258-2819. Active license number of Sierra Blanca Pharmacy Llc is PH00003414 for Community/Retail Pharmacy in New Mexico. Sierra Blanca Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Sierra Blanca Pharmacy Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Sierra Blanca Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Sierra Blanca Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 1206 Mechem Dr, Ruidoso,
New Mexico, 88345-7206 |
| Phone: | 575-258-2456 |
| Fax: | 575-258-2465 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Chris Woodul |
| Position: | Rph, Parmacist In Charge |
| Contact Number: | 575-258-2819 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1740549054 |
| NPI Enumeration Date: | 07 May, 2012 |
| NPI Last Update On: | 21 Nov, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sierra Blanca Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PH00003414 | New Mexico | Primary | |
| Compounding Pharmacy | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3212343 | Other | | Ncpdp Provider Identification Number |
Medicare Enrollment:
Sierra Blanca Pharmacy Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5698901452 | O20131126001859 | Sierra Blanca Pharmacy, Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1206 Mechem Dr,
Ruidoso, New Mexico |
| Zip: | 88345-7206 |
| Phone Number: | 575-258-2456 |
| Fax Number: | 575-258-2465 |
Patients can reach Sierra Blanca Pharmacy Llc at
1206 Mechem Dr, Ruidoso, New Mexico or can
call on customer care at 575-258-2456.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.