Provider Demographics
NPI:1538563440
Name:CSI
Entity type:Organization
Organization Name:CSI
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:POST
Authorized Official - Suffix:
Authorized Official - Credentials:BPHARM
Authorized Official - Phone:505-983-5546
Mailing Address - Street 1:551 W CORDOVA RD
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-1825
Mailing Address - Country:US
Mailing Address - Phone:505-983-5546
Mailing Address - Fax:505-982-4463
Practice Address - Street 1:551 W CORDOVA RD
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-1825
Practice Address - Country:US
Practice Address - Phone:505-983-5546
Practice Address - Fax:505-982-4463
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CSI PHARMACYS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-10-21
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM00004546183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty