NPI | 1265652150 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH PATRICK JAUREQUI Pharmacist Manager 505-537-8749 |
Organization Subpart ? | No |
Primary Taxonomy | 282E00000X (Licence: NM PH00002142) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2020-08-22 |