Zia Pharmacy, Llc

NPI 1730585142 - Pharmacy - 3336L0003X

NPI Details
NPI 1730585142
Enumeration Date 11/12/2014
Last Updated 12/18/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name KEUN-KYU KEUN-KYU
Position OWNER/PIC
Phone (505) 639-5857
Fax (505) 639-5888
Practice Location
2820 BROADBENT PKWY NE STE C
ALBUQUERQUE NM, 87107-1621, US
Phone (505) 639-5857
Fax (505) 639-5888
Business Location
2820 BROADBENT PKWY NE STE C
ALBUQUERQUE NM, 87107-1621, US
Phone (505) 639-5857
Fax (505) 639-5888
Toxanomy
Taxonomy Code 3336L0003X
License State New Mexico
License Number PH00003819
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According to our database, Zia Pharmacy, Llc NPI is 1730585142, taxonomy code is 3336L0003X and license number is PH00003819, license state is located at New Mexico. Zia Pharmacy, Llc physically located at 2820 Broadbent Pkwy Ne Ste C, Albuquerque NM, 87107-1621. NPI Number 1033115704 has the healthcare provider type.

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1730585142 NPI number is provided on an as is basis without warranty of any kind. 1730585142 is maintained by the National Plan & Provider Enumeration System. The contents of Zia Pharmacy, Llc are for informational purposes only.