| NPI | 1750778254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SON STONE Chief Executive Officer 505-262-6546 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NM PH00003558) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |