Organization
BALL INVESTMENTS INC
Active
Other names
CITY DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ADAM WOLFE (OWNER/VP)
(575) 374-9121
Entity
Organization
Contact information
Practice address
7 MAIN ST, CLAYTON, NM 88415-3037
(575) 374-9121
(575) 374-9123
Mailing address
7 MAIN ST, CLAYTON, NM 88415-3037
(575) 374-9121
(575) 374-9123
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH00002795
NM
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2056433
PK
—
05
—
53083385
—
NM
Enumeration date
11/18/2005
Last updated
09/25/2023
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