| NPI | 1457880114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAYA KALIDINDI Owner 575-387-5703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NM PH00004422) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-07 |