| NPI | 1023147774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TSAY ABDELHAD Owner And Chief Pharmacist 505-831-0833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NM PH00002238) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |