| NPI | 1295511954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY PEREZ Registered Pharmacist 505-525-7095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-11-06 |