# MOUNTAINAIR MEDS & MORE, LLC

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

## Provider details

- **NPI number:** 1578503488
- **Authorized official:** MS. KATHLEEN ALEXANDRA WEST RPH (CO-OWNER)
- **Authorized official phone:** (505) 847-0242

## Contact information

- **Practice address:** 111 W. BROADWAY, MOUNTAINAIR, NM 87036
- **Practice address phone:** (505) 847-0242
- **Practice address fax:** (505) 847-0252
- **Mailing address:** PO BOX 969, MOUNTAINAIR, NM 87036-0969
- **Mailing address phone:** (505) 847-0242
- **Mailing address fax:** (505) 847-0252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | RP00006163 | NM | Yes |

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 08/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3207467 | NABP NUMBER | NM |
| 05 | — | 66832 | — | NM |