| NPI | 1164832150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELOY ARAGON Pharmacist/Owner 505-425-5221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P1300X Pharmacist Psychiatric (Licence: NM PC00000225) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |