| NPI | 1740549054 |
|---|---|
| Doing Business As | SIERRA BLANCA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHRIS WOODUL R Ph, Parmacist In Charge 575-258-2819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NM PH00003414) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2013-11-21 |