| NPI | 1447147459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DAVID SMITH Owner/Pharmacist 505-336-1630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-12-22 |