Quintanas Fairview Pharmacy INC
NPI #1407907496 in Espanola, New Mexico
Provider Information
- NPI Number
- 1407907496
- Entity Type
- Organization
- Organization Name
- Quintanas Fairview Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jan 16, 2007
- Last Updated
- Oct 29, 2014
Practice Location
- Address
- 734 N RIVERSIDE DR
- Address 2
- STE A
- City
- Espanola
- State
- New Mexico
- ZIP Code
- 87532-2957
- Phone
- (505) 753-2209
Authorized Official
- Name
- LARRY QUINTANA, RPH
- Title
- PRESIDENT
- Phone
- (505) 753-2209
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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