| NPI | 1275104820 |
|---|---|
| Doing Business As | MESA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ZACHARY R WAINWRIGHT PIC 575-245-6372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2023-03-20 |