| NPI | 1033514492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL POST Pharmacist 505-264-5062 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NM 00004546) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |