| NPI | 1538040589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRIEDA ORTEGA Director Of Pharmacy 505-272-0526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-09-08 |