Organization
PICURIS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK MARTNEZ (DIRECTOR OF PHARMACY)
(505) 930-1136
Entity
Organization
Contact information
Practice address
201 K 2 BUFFALO TRAIL, PENASCO, NM 87553
(575) 281-8010
(833) 438-5215
Mailing address
201 K 2 BUFFALO TRAIL, PENASCO, NM 87553
(575) 281-8010
(833) 438-5215
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N0052683
—
NM
Enumeration date
02/04/2026
Last updated
04/08/2026
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