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Organization
MOUNTAINAIR MEDS & MORE, LLC
Active
Organization
MOUNTAINAIR MEDS & MORE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN ALEXANDRA WEST RPH (CO-OWNER)
(505) 847-0242
Entity
Organization
Contact information
Practice address
111 W. BROADWAY, MOUNTAINAIR, NM 87036
(505) 847-0242
(505) 847-0252
Mailing address
PO BOX 969, MOUNTAINAIR, NM 87036-0969
(505) 847-0242
(505) 847-0252
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006163
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3207467
NABP NUMBER
NM
05
—
66832
—
NM
Enumeration date
06/08/2006
Last updated
08/17/2018
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