| NPI | 1811858061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON PITCHER Owner/Pharmacist In Charge 505-225-1873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2025-11-18 |
| Last Update Date | 2025-11-18 |