| NPI | 1285924803 |
|---|---|
| Doing Business As | CORRALES PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MIKE GALLEGOS Owner,PIC,AO 505-897-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NM PH00004048) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2017-01-13 |