Organization
OLIVE TREE SPECIALTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NDIDIAMAKA OKPAREKE PHARMD (OWNER)
(505) 738-3328
Entity
Organization
Contact information
Practice address
1713 WELLSPRING AVE SE STE A, RIO RANCHO, NM 87124-5106
(505) 738-3328
Mailing address
1713 WELLSPRING AVE SE STE A, RIO RANCHO, NM 87124-5106
(505) 738-3328
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
11/30/2024
Last updated
05/21/2025
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