| NPI | 1619047552 |
|---|---|
| Doing Business As | SILVER REXALL DRUG INC |
| Entity Type | Organization |
| Authorized Contact | ALBERT MARTINEZ President 505-388-1579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NM PH00001400) |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336M0003X Pharmacy, Managed Care Organization Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2012-02-08 |