| NPI | 1811128440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYDNI J. REYNOLDS Pharmacist/Owner 505-287-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NM PH00003102) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2009-07-30 |