Corrales Pharmacy INC

NPI #1386276160 in Placitas, New Mexico

Provider Information

NPI Number
1386276160
Entity Type
Organization
Organization Name
Corrales Pharmacy INC
Subpart
Yes (part of a larger organization)
Parent Organization
CORRALES PHARMACY
Primary Specialty
Pharmacy - Clinic Pharmacy
Enumeration Date
Feb 10, 2020
Last Updated
Feb 10, 2020

Practice Location

Address
221 STATE HIGHWAY 165 # A4
Address 2
A4
ZIP Code
87043-9514
Phone
(505) 480-6327

Authorized Official

Name
DR. MIKE LEE GALLEGOS, PHARMD, PC
Title
PIC OWNER
Phone
(505) 480-6327

Specialties & Taxonomy Codes

Specialty
Pharmacy - Clinic PharmacyClinic Pharmacy

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