| NPI | 1487696787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE SKAFI A VP/Secretary 575-650-3396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WA PHAR.CF.60658956) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2023-12-05 |