Organization
PLAZA MEDICAL SVCS AND SUPPLY LLC
Active
Organization
PLAZA MEDICAL SVCS AND SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELOY ARAGON (REG PHARM)
(505) 425-3325
Entity
Organization
Contact information
Practice address
1700 PLAZA ST STE D, LAS VEGAS, NM 87701-3463
(505) 425-3325
(505) 425-5222
Mailing address
1700 PLAZA ST STE D, LAS VEGAS, NM 87701-3463
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH00002787
NM
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3211199
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/30/2006
Last updated
09/11/2025
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