NPI | 1467510891 |
---|---|
Doing Business As | LAS CRUCES REXALL |
Entity Type | Organization |
Authorized Contact | SCOTT W WALLIS President 505-524-2863 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NM PH00001546) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2008-09-18 |