| NPI | 1922549971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY DOUGLASS Pharmacist In Charge 505-598-5231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: LA 6800) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |