| NPI | 1922838465 |
|---|---|
| Other Name | MICHAEL'S PRESCRIPTION CORNER -JAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL C RABURN Owner 575-396-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-08-07 |