Organization
MEDICAL ARTS PHARMACY INC
Active
Other names
MEDICAL ARTS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HAL SIMS RPH (PHRM)
(575) 437-5530
Entity
Organization
Contact information
Practice address
1301 10TH ST, ALAMOGORDO, NM 88310-5804
(575) 437-5530
(575) 434-3237
Mailing address
1301 10TH ST, ALAMOGORDO, NM 88310-5804
(505) 437-5530
(505) 434-3237
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH00001556
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3203952
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
61754
—
NM
Enumeration date
11/15/2006
Last updated
09/15/2011
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