Portales Professional Compounding LLC
Portales Professional Compounding LLC is a Compounding Pharmacy in Portales, New Mexico. Licensed in New Mexico. Registered with an NPI since 2010.
- Licensed in
- NM
- In the registry since
- 2010
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1719 S Ave DPortales, NM 88130
Phone: (575) 356-8433
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Compounding Pharmacy (primary) | Taxonomy 3336C0004X · Licence PH00002491 (NM) |
|---|
Record details
| NPI number | 1679891238 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alfred Baca — Pharmacist · (575) 356-6068 |
| NPI enumerated | May 6, 2010 |
| Last updated in NPPES | May 6, 2010 |
| Mailing address | 1719 S. Ave D, Portales, NM 88130 |