Taos Pharmacy INC
NPI #1336175074 in Taos, New Mexico
Provider Information
- NPI Number
- 1336175074
- Entity Type
- Organization
- Organization Name
- Taos Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 24, 2006
- Last Updated
- Sep 13, 2007
Practice Location
- Address
- 622 PASEO DEL PUEBLO SUR STE A
- Address 2
- 5401 NDCBU
- City
- Taos
- State
- New Mexico
- ZIP Code
- 87571-5101
- Phone
- (505) 758-3342
Authorized Official
- Name
- JAKE MOSSMAN, RPH
- Title
- PRESIDENT PIC
- Phone
- (505) 758-3342
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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