| NPI | 1134599202 |
|---|---|
| Doing Business As | HEALTHCARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | YAZID K ATIEH Pharmacy Manager/Owner 575-915-1538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NM PH00004056) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2019-12-07 |