| NPI | 1992476824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY GAIL BRATCHER Administrator/Owner 575-885-9199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2021-09-21 |