Total Health and Wellness Center of Taos INC

NPI #1245552330 in Taos, New Mexico

Provider Information

NPI Number
1245552330
Entity Type
Organization
Organization Name
Total Health and Wellness Center of Taos INC
Primary Specialty
Pharmacy
Enumeration Date
Feb 17, 2010
Last Updated
Jul 29, 2010

Practice Location

Address
622 PASEO DEL PUEBLO SUR STE B
Address 2
5401 NDCBU
City
Taos
ZIP Code
87571-5101
Phone
(575) 737-5810

Authorized Official

Name
JAKE MOSSMAN
Title
PRESIDENT/PHARMACIST IN CHARGE
Phone
(575) 737-5810

Specialties & Taxonomy Codes

Specialty
Pharmacy

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