Organization
MODERN ALCHEMIST COMPOUNDING PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAWID FARHAD PHARMD (CHIEF PHARMACIST)
(505) 200-0033
Entity
Organization
Contact information
Practice address
7900 SAN PEDRO DR NE, ALBUQUERQUE, NM 87109-4672
(505) 200-0033
(505) 916-0063
Mailing address
PO BOX 93603, ALBUQUERQUE, NM 87199-3603
(505) 200-0033
(505) 916-0063
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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