Organization
LAS CRUCES APOTHECARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH EDWARD COOPER JR. PHARM.D. (PHARMACIST IN CHARGE/OWNER)
(575) 541-5030
Entity
Organization
Contact information
Practice address
525 E MADRID AVE STE 8, LAS CRUCES, NM 88001-1671
(575) 541-5030
Mailing address
525 E MADRID AVE STE 8, LAS CRUCES, NM 88001-1671
(575) 541-5030
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH000006912
NM
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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