| NPI | 1508080987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY WILLIAMS Chief Pharmacist 505-786-6344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: NM AU4720846) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |