| NPI | 1528445053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LONG Director Of Pharmacy Operation 505-272-2035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy (Licence: NM PH00003295) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |