| NPI | 1770667438 |
|---|---|
| Doing Business As | LOVELACE RIO BRAVO PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRAD TROM CEO 505-727-1299 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NM PH00001688) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2014-03-19 |