Organization
MAY PHARMACY CEDAR CREST INC
Active
Other names
May Cedar Crest Hlth Mrt Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE TSUI RPH (PRESIDENT / OWNER)
(505) 828-2348
Entity
Organization
Contact information
Practice address
12129 HWY 14 N, CEDAR CREST, NM 87008-9492
(505) 281-6488
(505) 281-6484
Mailing address
12129 HWY 14 N, CEDAR CREST, NM 87008-9492
(505) 281-6488
(505) 281-6484
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH00003103
NM
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3211226
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
55956033
—
NM
Enumeration date
07/25/2006
Last updated
07/21/2011
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