| NPI | 1720140569 |
|---|---|
| Doing Business As | MESA WINDS HEALTHMART PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRIAN WILSON Owner / President 575-461-2784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NM PH00003107) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2022-07-20 |