NPI 1407907496

Quintanas Fairview Pharmacy INC

Organisation Community/Retail Pharmacy Espanola, NM

Practice location

Address: 734 N Riverside Dr STE a, Espanola, NM 87532-2957
Phone: (505) 753-2209
Fax: (505) 753-8408

Authorised official

Name: Larry Quintana
Title: President
Phone: (505) 753-2209

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence PH00001141 (NM)

Other Pharmacy providers in New Mexico →

Pharmacy

Suppliers Taxonomy 333600000X

Registry record

NPI: 1407907496
Entity type: Organization
NPI issued: 16 Jan 2007
Record last updated: 29 Oct 2014

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.