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Organization

MOUNTAINAIR MEDS & MORE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KATHLEEN ALEXANDRA WEST RPH (CO-OWNER)
(505) 847-0242
Entity
Organization

Contact information

Practice address
111 W. BROADWAY, MOUNTAINAIR, NM 87036
(505) 847-0242
(505) 847-0252
Mailing address
PO BOX 969, MOUNTAINAIR, NM 87036-0969
(505) 847-0242
(505) 847-0252

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006163
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3207467
NABP NUMBER
NM
05
66832
NM
Enumeration date
06/08/2006
Last updated
08/17/2018
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