| NPI | 1326463936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG BURGESS Pharmacist 505-327-4826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NM PH00003239) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |