Organization
RURAL RX
Active
Other names
DEMING GOOD NEIGHBOR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
W SANDERS RPH (OWNER)
(505) 521-1182
Entity
Organization
Contact information
Practice address
820 E FLORIDA ST, DEMING, NM 88030-5312
(575) 546-2731
(575) 546-4030
Mailing address
PO BOX 1892, DEMING, NM 88031-1892
(575) 546-2731
(575) 546-4030
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH00002410
NM
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3206287
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
64758052
—
NM
Enumeration date
09/12/2006
Last updated
05/21/2012
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