| NPI | 1215233820 |
|---|---|
| Doing Business As | SW MESA CENTER FOR FAMILY AND COMMUNITY HEALTH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | FRIEDA ORTEGA Director Of Pharmacy 505-272-0526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NM ph00003240) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2014-03-13 |