NPI | 1538051602 |
---|---|
Doing Business As | PHARMACY ON THE BOSQUE |
Entity Type | Organization |
Authorized Contact | JABARI OMAR FARRAR Owner 505-546-9217 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2025-07-15 |
Last Update Date | 2025-07-16 |