| NPI | 1528558186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ELLIOTT SOUTHWARD Chief Operating Officer 575-627-9110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2023-06-12 |