Organization
ELPASEO PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ADAMS RPH (OWNER)
(505) 541-1500
Entity
Organization
Contact information
Practice address
1605 EL PASEO RD, SUITE A, LAS CRUCES, NM 88001-6013
(575) 541-1500
(575) 541-5929
Mailing address
1605 EL PASEO RD, SUITE A, LAS CRUCES, NM 88001-6013
(575) 541-1500
(575) 541-5929
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH00002812
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3211252
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
05/11/2006
Last updated
10/21/2011
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