| 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 |