State of New Mexico
NPI #1598966798 in Las Vegas, New Mexico
Provider Information
- NPI Number
- 1598966798
- Entity Type
- Organization
- Organization Name
- State of New Mexico
- Primary Specialty
- Pharmacy - Institutional Pharmacy
- Enumeration Date
- May 29, 2007
- Last Updated
- Oct 4, 2016
Practice Location
- Address
- 3695 HOT SPRINGS BLVD
- City
- Las Vegas
- State
- New Mexico
- ZIP Code
- 87701-9549
- Phone
- (505) 454-2183
Authorized Official
- Name
- DAN SMITH, RPH
- Title
- PHARMACY DIRECTOR
- Phone
- (505) 454-2183
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
| Pharmacy |
| Pharmacy - Institutional Pharmacy — Institutional Pharmacy |
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