Organization
SILVER REXALL DRUGS INC
Active
Organization
SILVER REXALL DRUGS INC
Active
Other names
SILVER REXALL DRUG INC
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT MARTINEZ PHRM (PRESIDENT)
(505) 388-1579
Entity
Organization
Contact information
Practice address
1308 SILVER HEIGHTS BLVD, SILVER CITY, NM 88061-5528
(575) 388-1579
(575) 538-0525
Mailing address
1308 SILVER HEIGHTS BLVD, SILVER CITY, NM 88061-5528
(575) 388-1579
(575) 538-0525
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH00001400
NM
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3203697
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
58016
—
NM
Enumeration date
11/08/2006
Last updated
02/08/2012
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