| NPI | 1578503488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ALEXANDRA WEST Co Owner 505-847-0242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00006163) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2018-08-17 |