Organization
ALBERTSONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRIKANTH PONNADA RPH (STAFF-PHARMACIST)
(541) 314-3271
Entity
Organization
Contact information
Practice address
808 N CANAL ST, CARLSBAD, NM 88220-2418
(575) 887-5085
Mailing address
808 N CANAL ST, CARLSBAD, NM 88220-2418
(575) 887-5085
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RP00007444
NM
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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