Organization
COMPLETE CARE PHARMACY LLC
Active
Other names
Corrales Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE GALLEGOS PHARMD,RPH (OWNER,PIC,AO)
(505) 897-3784
Entity
Organization
Contact information
Practice address
4940 CORRALES RD, SUITE 200, CORRALES, NM 87048-8673
(505) 897-3784
(505) 897-3795
Mailing address
4940 CORRALES RD, SUITE 200, CORRALES, NM 87048-8673
(505) 897-3784
(505) 897-3795
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH00004048
NM
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142883
PK
—
05
—
96472031
—
NM
Enumeration date
04/15/2011
Last updated
01/13/2017
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