# LAS CRUCES APOTHECARY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013309863
- **Authorized official:** DR. KENNETH EDWARD COOPER JR. PHARM.D. (PHARMACIST IN CHARGE/OWNER)
- **Authorized official phone:** (575) 541-5030

## Contact information

- **Practice address:** 525 E MADRID AVE STE 8, LAS CRUCES, NM 88001-1671
- **Practice address phone:** (575) 541-5030
- **Mailing address:** 525 E MADRID AVE STE 8, LAS CRUCES, NM 88001-1671
- **Mailing address phone:** (575) 541-5030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | PH000006912 | NM | Yes |

## Other

- **Enumeration date:** 03/02/2015
- **Last updated:** 03/02/2015