Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PORTALES PROFESSIONAL COMPOUNDING LLC
Active OrganizationPORTALES PROFESSIONAL COMPOUNDING LLC is a Clinic Pharmacy organization located in PORTALES, New Mexico. NPI 1679891238 is currently active in the NPPES registry. Verify at CMS.
Clinic Pharmacy · PORTALES, NM
Registration Details
- NPI Number
- 1679891238
- Provider Type
- Organization
- NPI Issued
- May 6, 2010 (16.282933225165 yrs)
- Last Updated
- May 6, 2010
- License
-
PH00002491 (NM)
Practice Information
- Address
-
1719 S. AVE DPORTALES, NM, 88130Browse NM providers · Browse ZIP 88130
- Phone
- 5753568433
- Primary Specialty
-
Clinic Pharmacy
3336C0004X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.