NPI | 1447147459 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER DAVID SMITH Owner/Pharmacist 505-336-1630 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2025-06-23 |
Last Update Date | 2025-06-23 |