| NPI | 1043457187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY THOMAS CEO 505-989-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NM PH00003065) |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2016-04-20 |