| NPI | 1649311374 |
|---|---|
| Doing Business As | MICHAEL'S PRESCRIPTION CORNER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RABURN Owner 505-396-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NM CS00208480) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2022-03-18 |