| NPI | 1043256597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYRON BARTLEY President 505-746-9642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NM CL00010422) |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2022-08-17 |