Organization
LBH PHARMACY LLC
Active
Other names
Central Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LOAN HA (OWNER)
(505) 363-3706
Entity
Organization
Contact information
Practice address
7226 CENTRAL AVE SE STE I, ALBUQUERQUE, NM 87108-2000
(505) 508-4272
(505) 508-3988
Mailing address
7226 CENTRAL AVE SE STE I, ALBUQUERQUE, NM 87108-2000
(505) 508-4272
(505) 508-3988
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH00003472
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12208272
—
NM
01
—
2138652
PK
—
Enumeration date
10/12/2012
Last updated
04/24/2013
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