Organization
EUGENE L GUTIERREZ
Active
Other names
Trust Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE R. SMITH RPH (RPH PHARMACIST)
(505) 287-3913
Entity
Organization
Contact information
Practice address
1000 E ROOSEVELT AVE, GRANTS, NM 87020-2118
(505) 287-3913
(505) 287-4379
Mailing address
1000 E ROOSEVELT AVE, GRANTS, NM 87020-2118
(505) 287-3913
(505) 287-4379
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH00001734
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3204219
NAPB
NM
Enumeration date
03/06/2007
Last updated
04/26/2010
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