Organization
LAMC WHITE ROCK PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANABEL CANDELARIA PHARM D (PHARMACY DIR)
(505) 661-9568
Entity
Organization
Contact information
Practice address
WHITE ROCK MED CLINIC STE B, WHITE ROCK, NM 87544
(505) 672-3701
(505) 672-0369
Mailing address
WHITE ROCK MED CLINIC STE B, WHITE ROCK, NM 87544
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH00002442
NM
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3203940
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
65086
—
NM
Enumeration date
07/30/2006
Last updated
09/11/2025
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