| NPI | 1528259124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA C. RAINS Director Of Pharmacy Services 505-769-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: NM PH00001877) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |