| NPI | 1750403762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM K. WHITE Chief Pharmacist 505-982-9550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NM PH00001731) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2009-12-18 |