Organization
MENAUL COMPOUNDING PHARMACY LLC
Active
Organization
MENAUL COMPOUNDING PHARMACY LLC
Active
Other names
MENAUL COMPOUNDING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD ZAMANIAN RPH (PRESIDENT)
(505) 291-1600
Entity
Organization
Contact information
Practice address
11417 MENAUL BLVD NE, ALBUQUERQUE, NM 87112-1794
(505) 291-1600
(505) 291-1604
Mailing address
11417 MENAUL BLVD NE, ALBUQUERQUE, NM 87112-1794
(505) 291-1600
(505) 291-1604
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH00002814
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2059005
PK
—
Enumeration date
06/12/2006
Last updated
11/29/2016
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