NPI 1558859710

Integral Pharmacy, LLC

Organisation Long Term Care Pharmacy Gallup, NM

Practice location

Address: 109 S Second St, Gallup, NM 87301-6219
Phone: (505) 862-9082
Fax: (844) 492-1938
Mailing address: 224 Crestwood CT, Gallup, NM 87301-7120

Authorised official

Name: Stephanie Michelle Rodriguez
Title: Pharmacist
Phone: (505) 862-9082

Registered specialties

Long Term Care Pharmacy Primary

Suppliers Taxonomy 3336L0003X Licence PH00004616 (NM)

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Registry record

NPI: 1558859710
Entity type: Organization
NPI issued: 24 Apr 2018
Record last updated: 24 Apr 2018

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.