NPI | 1982749453 |
---|---|
Doing Business As | ROUTE 66 PHARMACY |
Entity Type | Organization |
Authorized Contact | CHRISTINA CAMPOS Administrator 575-472-5666 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NM PH00003554) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2007-02-21 |
Last Update Date | 2023-09-12 |