| NPI | 1831223379 |
|---|---|
| Doing Business As | ANGEL FIRE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JAMES BUTTS Owner And Pharmacist In Charge 505-377-2269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NM PH00001207) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-09-12 |