Organization
PAT-Y-KEN DRUGS INC
Active
Other names
THE MEDICINE CHEST
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARITA THEREA WARE CPHT (PHARMACY MANAGER)
(505) 344-2335
Entity
Organization
Contact information
Practice address
1123 CANDELARIA RD NW, ALBUQUERQUE, NM 87107-2414
(505) 344-2335
(505) 344-0254
Mailing address
1123 CANDELARIA RD NW, ALBUQUERQUE, NM 87107-2414
(505) 344-2335
(505) 344-0254
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH00001214
NM
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2056404
PK
—
05
—
55939
—
NM
Enumeration date
01/30/2007
Last updated
02/18/2021
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