Organization
EXPRESS TRADE LC
Active
Other names
HEALTHCARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
YAZID ATIEH (OWNER)
(575) 915-1538
Entity
Organization
Contact information
Practice address
1325 EL PASEO RD, LAS CRUCES, NM 88001-6023
(575) 915-1538
(575) 288-2797
Mailing address
1325 EL PASEO RD, LAS CRUCES, NM 88001-6023
(575) 915-1538
(575) 288-2797
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PH00004056
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538575071
RPH VACCINATION NPI
NM
Enumeration date
10/02/2015
Last updated
01/22/2026
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