Organization
DURAN CENTRAL PHARMACY, INC.
Active
Organization
DURAN CENTRAL PHARMACY, INC.
Active
Other names
Duran Central Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MONA GHATTAS (PRESIDENT, AO)
(505) 247-4141
Entity
Organization
Contact information
Practice address
1815 CENTRAL AVE NW, ALBUQUERQUE, NM 87104-1143
(505) 247-4141
(505) 843-6249
Mailing address
1815 CENTRAL AVE NW, ALBUQUERQUE, NM 87104-1143
(505) 247-4141
(505) 843-6249
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH3087
NM
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2125193
PK
—
05
—
55669
—
NM
05
—
55699
—
NM
Enumeration date
11/09/2006
Last updated
01/11/2021
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