Organization
WALLIS ENTERPRISES INC
Active
Other names
Las Cruces Rexall
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT W WALLIS R. PH. (PRESIDENT)
(505) 524-2863
Entity
Organization
Contact information
Practice address
2140 N MAIN ST, LAS CRUCES, NM 88001-1129
(505) 524-2863
(505) 525-3192
Mailing address
2140 N MAIN ST, LAS CRUCES, NM 88001-1129
(505) 524-2863
(505) 525-3192
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH00001546
NM
Other
Enumeration date
12/05/2006
Last updated
09/18/2008
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