Village Pharmacy INC
NPI #1376676783 in Portales, New Mexico
Provider Information
- NPI Number
- 1376676783
- Entity Type
- Organization
- Organization Name
- Village Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Mar 14, 2007
- Last Updated
- Mar 10, 2015
Practice Location
- Address
- 1719 S AVENUE D
- City
- Portales
- State
- New Mexico
- ZIP Code
- 88130-7241
- Phone
- (505) 356-8555
Authorized Official
- Name
- ALFRED VICTOR BACA
- Title
- PHARMACIST
- Phone
- (505) 356-8555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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