Organization
HILLRISE PHARMACY DEMING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJESH KUMAR KANAKAVALLI (OWNER)
(917) 855-1189
Entity
Organization
Contact information
Practice address
820 E FLORIDA ST, DEMING, NM 88030-5312
(917) 855-1189
Mailing address
820 E FLORIDA ST, DEMING, NM 88030-5312
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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