| NPI | 1700810959 |
|---|---|
| Doing Business As | SOUTHWEST PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STEPHEN J KOCHERHANS Owne/CEO 505-881-4601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NM PH00002987) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NM PH00002987) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2021-11-19 |