Organization
COMPLETE CARE PHARMACY LLC
Active
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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