Portales Professional Compounding Llc

LBN: Portales Professional Compounding Llc
Portales Professional Compounding Llc is an health care organization with primary practice located at 1719 S. Ave D , Portales NM 88130. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Portales Professional Compounding Llc can be contacted via phone (575) 356-8433, or through Baca, Alfred Victor via phone (575) 356-6068.

Contact Information

Primary practice address
1719 S. Ave D Portales NM 88130
Phone: (575) 356-8433
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Baca, Alfred Victor
Phone: (575) 356-6068

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X PH00002491 New Mexico

Profile Details

NPI number 1679891238
LBN Legal business name Portales Professional Compounding Llc
DBA Doing business as
Authorized official Baca, Alfred Victor
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2010
Last updated May 6th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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