Healthcare Provider Details

I. General information

NPI: 1740262260
Provider Name (Legal Business Name): BALL INVESTMENTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 09/25/2023
Certification Date: 09/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 MAIN ST
CLAYTON NM
88415-3037
US

IV. Provider business mailing address

7 MAIN ST
CLAYTON NM
88415-3037
US

V. Phone/Fax

Practice location:
  • Phone: 575-374-9121
  • Fax: 575-374-9123
Mailing address:
  • Phone: 575-374-9121
  • Fax: 575-374-9123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH00002795
License Number StateNM

VIII. Authorized Official

Name: RICHARD ADAM WOLFE
Title or Position: OWNER/VP
Credential:
Phone: 575-374-9121