| NPI | 1770533440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ADAMS Owner 505-541-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NM PH00002812) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2011-10-21 |