Organization · Type 2 NPI

Pharmacy On the Bosque LLC

Compounding Pharmacy · Albuquerque, NM

NPI number 1538051602 Active

Practice location

6341 Riverside Plaza Ln NW Ste B
Albuquerque, NM 87120-2646

Specialties and licenses

Taxonomy	Code	License
Compounding Pharmacy Primary	3336C0004X	None listed

Compounding Pharmacy: 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 compoun…

2 other providers at this address

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NPI record

NPI: 1538051602
Entity type: Organization (Type 2)
Issued: Jul 15, 2025
Last updated: Jul 16, 2025
Status: Active

Other names

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Pharmacy On the Bosque · doing business as
Pharmacy On the Bosque · doing business as

Authorized official

Dr. Jabari Omar Farrar, PhD
Owner
(505) 546-9217

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1538051602

Pharmacy On the Bosque LLC's National Provider Identifier is 1538051602, issued on Jul 15, 2025. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 16, 2025.