| NPI | 1356470561 |
|---|---|
| Other Name | PSYCHIATRY (UPC & CPC) PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ELLA B. WATT CFO 505-272-2644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NM 6005) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |