| NPI | 1275833311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNIE GOODRICH District Manager 505-823-6721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00006655) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |