Olive Tree Pharmacy, Co.

NPI #1053850784 in Rio Rancho, New Mexico

Provider Information

NPI Number
1053850784
Entity Type
Organization
Organization Name
Olive Tree Pharmacy, Co.
Primary Specialty
Clinic/Center
Enumeration Date
Feb 14, 2017
Last Updated
Feb 14, 2017

Practice Location

Address
1920 WESTSIDE BLVD SE STE B
ZIP Code
87124-4893
Phone
(505) 738-3328

Authorized Official

Name
NDIDIAMAKA OKPAREKE, PHARMD
Title
PRESIDENT AND OWNER
Phone
(706) 509-1012

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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