Healthcare Provider Details

I. General information

NPI: 1013946755
Provider Name (Legal Business Name): FAMILY PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 03/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 S SOLANO DR
LAS CRUCES NM
88001-3755
US

IV. Provider business mailing address

1205 S SOLANO DR
LAS CRUCES NM
88001-3755
US

V. Phone/Fax

Practice location:
  • Phone: 575-526-1599
  • Fax: 575-524-3528
Mailing address:
  • Phone: 575-526-1599
  • Fax: 575-524-3528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH-2306
License Number StateNM

VIII. Authorized Official

Name: MR. ROBERT FRANCIS ADAMS
Title or Position: PHARMACIST/OWNER
Credential: RPH.
Phone: 575-526-1599