| NPI | 1295892628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG SMITH Executive Vice President 505-982-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NM CL00007332) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2021-01-09 |