NPI | 1396106670 |
---|---|
Entity Type | Organization |
Authorized Contact | JON MARK BAILEY Director Of Pharmacy 575-537-8745 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NM 3336L0003X) |
Enumeration Date | 2016-03-14 |
Last Update Date | 2016-03-14 |