| NPI | 1730383548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI ROLAN Director Of Pharmacy 505-243-2011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2016-05-04 |