| NPI | 1710765821 |
|---|---|
| Doing Business As | CRYSTAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHARLES EMMANUEL BARKLEY Pharmacist In Charge 505-363-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2023-09-19 |