Organization
PHARMACY ON THE BOSQUE LLC
Active
Other names
Pharmacy on the Bosque
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JABARI OMAR FARRAR PHD (OWNER)
(505) 546-9217
Entity
Organization
Contact information
Practice address
6341 RIVERSIDE PLAZA LN NW STE B, ALBUQUERQUE, NM 87120-2646
(505) 546-9217
Mailing address
6341 RIVERSIDE PLAZA LN NW STE B, ALBUQUERQUE, NM 87120-2646
(505) 546-9217
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
07/15/2025
Last updated
07/16/2025
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