NPI | 1942615570 |
---|---|
Doing Business As | PLAINS REGIONAL MEDICAL CENTER PHARMACY |
Entity Type | Organization |
Authorized Contact | KIMBERLY POLAND Provider Enrollment Manager 505-923-5355 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NM PH00003710) |
Enumeration Date | 2014-06-23 |
Last Update Date | 2022-07-21 |