NPI | 1720193428 |
---|---|
Former Legal Business Name | B&J DRUG CO |
Entity Type | Organization |
Authorized Contact | BRUCE A KENNEDY Owner 505-396-2801 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NM PH00001181) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2020-08-22 |