| NPI | 1588402580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NDIDIAMAKA OKPAREKE Owner 505-738-3328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2025-05-30 |