| NPI | 1467834580 |
|---|---|
| Doing Business As | MESA VERDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GENEVIEVE BENJAMIN CEO/ President 949-293-9857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY56036) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2024-02-08 |