| NPI | 1245012145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTON K COMPTON CEO 505-609-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-10-17 |