Guadalupe County

NPI 1093153850 - Pharmacy - 3336C0003X

NPI Details
NPI 1093153850
Enumeration Date 06/13/2013
Last Updated 06/13/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name CHRISTINA R CHRISTINA
Position ADMINISTRATOR
Phone (575) 472-3417
Fax (575) 472-4587
Practice Location
117 CAMINO DE VIDA
200
SANTA ROSA NM, 88435-2267, US
Phone (575) 472-3417
Fax (575) 472-4587
Business Location
117 CAMINO DE VIDA
100
SANTA ROSA NM, 88435-2267, US
Phone (575) 472-3417
Fax (575) 472-4587
Toxanomy
Taxonomy Code 3336C0003X
License State
License Number
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According to our database, Guadalupe County NPI is 1093153850, taxonomy code is 3336C0003X Guadalupe County physically located at 117 Camino De Vida, Santa Rosa NM, 88435-2267. NPI Number 1033115704 has the healthcare provider type.

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1093153850 NPI number is provided on an as is basis without warranty of any kind. 1093153850 is maintained by the National Plan & Provider Enumeration System. The contents of Guadalupe County are for informational purposes only.