Organization
PHARMACY CAPITAL LLC
Active
Organization
PHARMACY CAPITAL LLC
Active
Other names
Highland Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TERI ROLAN PHARM D (DIRECTOR OF PHARMACY)
(505) 243-2011
Entity
Organization
Contact information
Practice address
717 ENCINO PL NE, STE 1, ALBUQUERQUE, NM 87102-2611
(505) 243-2010
(505) 242-3216
Mailing address
717 ENCINO PL NE, STE 1, ALBUQUERQUE, NM 87102-2611
(505) 243-2010
(505) 242-3216
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH4108
PHARMACY LICENSE
NM
Enumeration date
06/14/2007
Last updated
05/04/2016
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