Organization
LLOYD'S WATER PAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILLY L EDWARDS I (CEO)
(575) 202-6110
Entity
Organization
Contact information
Practice address
622 WEST FIRST STREET, SOON OTHER AT OTHER : 8700 EAST FOURTH STREET, DEMING, NM 88030
(575) 202-6110
Mailing address
702 W 1ST ST, DEMING, NM 88030-3012
(575) 202-6110
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
Primary
—
—
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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