Organization
RX INNOVATIONS, INC.
Active
Other names
Route 66 Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY PETER CAMPBELL RPH (PRESIDENT)
(505) 881-4601
Entity
Organization
Contact information
Practice address
1128 HISTORIC ROUTE 66, SANTA ROSA, NM 88435-2712
(505) 472-5666
(505) 472-9666
Mailing address
1128 HISTORIC ROUTE 66, SANTA ROSA, NM 88435-2712
(505) 472-5666
(505) 472-9666
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
88484009
NM
333600000X
Pharmacy
PH00002614
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3209497
NABP NUMBER
NM
01
—
PH00002614
NM PHARMACY NUMBER
NM
Enumeration date
03/27/2006
Last updated
09/11/2025
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