NPI | 1124414214 |
---|---|
Former Legal Business Name | PHIL'S PHARMACY |
Entity Type | Organization |
Authorized Contact | JACQUELINE GUERRERO Pharmacist/ Owner 505-265-6868 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2015-04-15 |
Last Update Date | 2020-01-28 |