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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