| NPI | 1407343445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERINMA N ANYANKAH Pharmacy Director 575-527-5482 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: NM CL00006350) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2025-10-28 |