| NPI | 1265887996 |
|---|---|
| Doing Business As | TW WELLNESS |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN WHITE Owner 505-717-2342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NM CS00222956) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |