Organization
LA FARMACIA
Active
Organization
LA FARMACIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEO WINK RPH (OWNER MGR)
(505) 753-2327
Entity
Organization
Contact information
Practice address
544 N PASEO DE ONATE, ESPANOLA, NM 87532-2618
(505) 753-2327
Mailing address
PO 3708 FAIRVIEW STATION, ESPANOLA, NM 87532
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH00001142
NM
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054064
—
NM
01
—
3205817
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/10/2006
Last updated
09/11/2025
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