person
Wilfred Chavez, PHRAMACIST
Compounding Pharmacy in Belen, New Mexico
NPI 1750411096

Wilfred Chavez is a Compounding Pharmacy based in Belen, NM and is specialized in Compounding Pharmacy. Wilfred Chavez practices in Belen, NM and has the professional credentials of PHRAMACIST. The NPI Number for Wilfred Chavez is 1750411096 and holds a License No. CS00208115 (New Mexico).

The current practice location address for Wilfred Chavez is 701 Dalies Ave, Belen, NM and can be reached out via phone at 505-864-7471 and via fax at 505-864-6535.

Location: 701 Dalies Ave, Belen, NM, 87002-3617
person
Provider Profile Details
NPI Number
1750411096
Provider Name
Wilfred Chavez
Credential
PHRAMACIST
Provider Entity Type
Individual
Gender
Male
Address
701 Dalies Ave, Belen, NM, 87002-3617
Phone Number
505-864-7471
Fax Number
505-864-6535
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CS00208115 01 NM LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
701 Dalies Ave
City
State
Zip
87002-3617
Phone Number
505-864-7471
Fax Number
505-864-6535
person
Provider Business Mailing Address Details
Address
701 Dalies Ave
City
State
Zip
87002-3617
Phone Number
505-864-7471
Fax Number
505-864-6535
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
License No.
CS00208115 (New Mexico)
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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