| NPI | 1770899676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA SAENZ Staff Pharmacist 505-899-0989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: NM RP00007500) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-08-30 |