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 |