| NPI | 1679329783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAQUIN ACOSTA CEO 575-993-5243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |