| NPI | 1881727873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INNA VOINICH Chief Pharmacist 505-552-5393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
| 3336I0012X Pharmacy Institutional Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2025-02-10 |