| NPI | 1588937551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ALLEN SPENCER Pharmacist 575-525-8713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM rp00003798) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-02-21 |