Organization
HUMAN MILK REPOSITORY OF NEW MEXICO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHTON LINES (MEDICAL OFFICE MANAGER)
(505) 489-5600
Entity
Organization
Contact information
Practice address
6208 MONTGOMERY BLVD NE STE D, ALBUQUERQUE, NM 87109-1400
(505) 508-5291
(505) 508-5428
Mailing address
6208 MONTGOMERY BLVD NE STE D, ALBUQUERQUE, NM 87109-1400
(505) 508-5291
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
10/06/2025
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