| NPI | 1831314707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY WILLIAMS Chief Pharmacist 505-786-6344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: NM AU4720846) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2008-06-24 |