Provider First Line Business Practice Location Address:
2450 S TELSHOR BLVD
Provider Second Line Business Practice Location Address:
GROUND FLOOR, INPATIENT PHARMACY
Provider Business Practice Location Address City Name:
LAS CRUCES
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
88011-5069
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-554-9566
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/03/2026