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 |