NPI 1053850784

Olive Tree Pharmacy, Co.

Organisation Clinic/Center Rio Rancho, NM

Practice location

Address: 1920 Westside Blvd SE STE B, Rio Rancho, NM 87124-4893
Phone: (505) 738-3328

Authorised official

Name: Ndidiamaka Okpareke
Title: President and Owner
Phone: (706) 509-1012

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence PH00004369 (NM)

Other Clinic/Center providers in New Mexico →

Registry record

NPI: 1053850784
Entity type: Organization
NPI issued: 14 Feb 2017
Record last updated: 14 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.