| NPI | 1467663278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGIL MEDINA Chief Executive Officer 575-526-1105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: NM PH00001798) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2018-09-07 |