| NPI | 1063427607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN HERMOSILLO Pharmacy Manager 505-277-4469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NM PH00002166) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2018-07-19 |