| NPI | 1245552330 |
|---|---|
| Doing Business As | TOTAL HEALTH AND WELLNESS CENTER OF TAOS |
| Entity Type | Organization |
| Authorized Contact | JAKE MOSSMAN President/Pharmacist In Charge 575-737-5810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2010-07-29 |