| NPI | 1568473114 |
|---|---|
| Doing Business As | NOWELL PHARMACY, LLC |
| Entity Type | Organization |
| Authorized Contact | JENNA DOMZALSKI DE RIOS Owner 575-396-6746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NM PH00001233) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2017-09-18 |