| 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 |