Basic Information
Provider Information
NPI: 1457437089
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAMBERT-BERNARDO
FirstName: HILCIA
MiddleName: J
NamePrefix: DR.
NameSuffix:  
Credential: PHARM. D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3714 CINIZA DR
Address2:  
City: GALLUP
State: NM
PostalCode: 873014544
CountryCode: US
TelephoneNumber: 5057268422
FaxNumber:  
Practice Location
Address1: CORNER ROUTE N12 AND N7
Address2:  
City: FORT DEFIANCE
State: AZ
PostalCode: 86504
CountryCode: US
TelephoneNumber: 9287298328
FaxNumber: 9287298348
Other Information
ProviderEnumerationDate: 10/27/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000X16835NCY Pharmacy Service ProvidersPharmacist 

No ID Information.


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