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SHARE 'N CARE PHARMACY AND MEDICAL SUPPLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILFRED O CHAVEZ RPH (OWNER/PHARMACIST)
(505) 864-7471
Entity
Organization

Contact information

Practice address
701 DALIES AVE, BELEN, NM 87002-3617
(505) 864-7471
(505) 864-1255
Mailing address
701 DALIES AVE, BELEN, NM 87002-3617
(505) 864-7471
(505) 864-1255

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
4411640001
NM
333600000X
Pharmacy
Primary
PH00002408
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
48021857
NM
Enumeration date
12/17/2012
Last updated
12/17/2012
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