| NPI | 1922300144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD REZA ZAMANIAN Pharmacist/Owner 505-291-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2011-08-25 |