| NPI | 1225150535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO SOLIS Pharmacy Director, Acting 505-248-4028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0904X Clinic/Center, Public Health, Federal |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |