Organization
MEDICAL ARTS PHARMACY INC
Active
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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