| NPI | 1710231733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN MARTIN CEO 505-888-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: NM PH00003440) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2020-12-30 |