Portales Professional Compounding Llc
Compounding Pharmacy
1719 S. Ave D, Portales
New Mexico, 88130
575-356-8433 Portales Professional Compounding Llc is a Compounding Pharmacy in Portales, New Mexico. It is located at 1719 S. Ave D, Portales and it's customer support contact number is 575-356-8433. The authorized person of Portales Professional Compounding Llc is Mr. Alfred Victor Baca who is Pharmacist of the pharmacy and his contact number is 575-356-6068. Active license number of Portales Professional Compounding Llc is PH00002491 for Compounding Pharmacy in New Mexico.
Portales Professional Compounding Llc is 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.
Pharmacy Details:
Portales Professional Compounding Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Portales Professional Compounding Llc |
| Type: | Compounding Pharmacy |
| Location: | 1719 S. Ave D, Portales,
New Mexico, 88130 |
| Phone: | 575-356-8433 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Alfred Victor Baca |
| Position: | Pharmacist |
| Contact Number: | 575-356-6068 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1679891238 |
| NPI Enumeration Date: | 06 May, 2010 |
| NPI Last Update On: | 06 May, 2010 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Portales Professional Compounding Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Compounding Pharmacy | PH00002491 | New Mexico | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1719 S. Ave D,
Portales, New Mexico |
| Zip: | 88130 |
| Phone Number: | 575-356-8433 |
Patients can reach Portales Professional Compounding Llc at
1719 S. Ave D, Portales, New Mexico or can
call on customer care at 575-356-8433.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.