| NPI | 1295225126 |
|---|---|
| Doing Business As | MESA VERDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GENEVIEVE BENJAMIN CEO 714-576-5875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA PHY56036) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2025-09-19 |