State of New Mexico
NPI #1033135074 in Truth Or Consequences, New Mexico
Provider Information
- NPI Number
- 1033135074
- Entity Type
- Organization
- Organization Name
- State of New Mexico
- Primary Specialty
- Pharmacist
- Enumeration Date
- Jul 14, 2006
- Last Updated
- Apr 18, 2017
Practice Location
- Address
- 992 S BROADWAY
- State
- New Mexico
- ZIP Code
- 87901
- Phone
- (575) 894-4200
Authorized Official
- Name
- MARIE R RICHTER
- Title
- ADMINISTRATIVE SERVICES DIRECTOR
- Phone
- (575) 894-4216
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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