| NPI | 1942242516 |
|---|---|
| Doing Business As | VICTOR'S REGENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOHN CASTILLO Owner, AO 505-877-1620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NM PH00002986) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2016-02-01 |