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
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 PharmacyCompounding Pharmacy

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