Organization
REDE PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAHMOOD HURAB RPH (OWNER-PHARMACIST)
(505) 522-7484
Entity
Organization
Contact information
Practice address
2655 MISSOURI, LAS CRUCES, NM 88011-5023
(505) 522-7484
(505) 522-5652
Mailing address
2655 MISSOURI, LAS CRUCES, NM 88011-5023
(505) 522-7484
(505) 522-5652
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH00001746
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61096
—
NM
Enumeration date
02/07/2007
Last updated
08/22/2020
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