Pharmacy On the Bosque LLC
NPI #1538051602 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1538051602
- Entity Type
- Organization
- Organization Name
- Pharmacy On the Bosque LLC
- Primary Specialty
- Pharmacy - Compounding Pharmacy
- Enumeration Date
- Jul 15, 2025
- Last Updated
- Jul 16, 2025
Practice Location
- Address
- 6341 RIVERSIDE PLAZA LN NW STE B
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87120-2646
- Phone
- (505) 546-9217
Authorized Official
- Name
- DR. JABARI OMAR FARRAR, PHD
- Title
- OWNER
- Phone
- (505) 546-9217
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
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| Eden Pharmacy, LLC | |
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