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Guadalupe County — NPI 1982749453, Santa Rosa, NM | NPI Central

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NPI 1982749453

OrganizationActive

Guadalupe County

NPI 1982749453 · Community/Retail Pharmacy · Santa Rosa, NM

Provider details

NPI number: 1982749453
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Organization subpart: No
Authorized official: Christina Campos, Administrator(575) 472-5666

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003XLicense PH00003554 (NM)
Suppliers
Pharmacy333600000X
Suppliers

Practice location

117 Camino De Vida Ste 200

Santa Rosa, NM 88435-2267

Phone: (575) 472-5666

Fax: (575) 472-9666

Approximate (ZIP-level) locationGet directions

More NM providers

Mailing address

117 Camino De Vida Ste 200

Santa Rosa, NM 88435-2267

Other names (DBA / former)

Doing business as: Route 66 Pharmacy

Registry dates

Enumerated: 2007-02-21
Last updated: 2023-09-12
Certified: 2023-09-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.