| NPI | 1215942826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANABEL CANDELARIA Pharmacy Dir 505-661-9568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NM PH00002442) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2025-09-11 |