Organization
CORRALES PHARMACY INC
Active
Parent organization
CORRALES PHARMACY
Other names
PLACITAS PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORRALES PHARMACY
Authorized official
DR. MIKE LEE GALLEGOS PHARMD, PC (PIC OWNER)
(505) 480-6327
Entity
Organization
Contact information
Practice address
221 STATE HIGHWAY 165 # A4, A4, PLACITAS, NM 87043-9514
(505) 480-6327
Mailing address
221 STATE HIGHWAY 165 # A4, A4, PLACITAS, NM 87043-9514
(505) 480-6327
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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