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Organization
GHAFFARI MEDICAL PHARMACY
Active
Organization
GHAFFARI MEDICAL PHARMACY
Active
Other names
colonial heritage personal care
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LINDA R GHAFFARI (OWNER)
(505) 749-2915
Entity
Organization
Contact information
Practice address
2929 N COORS NW 3RD FLOOR, STE 310H, ALBUQUERQUE, NM 87120
(505) 836-4801
(505) 836-4801
Mailing address
121 W 5TH ST, CLOVIS, NM 88101-7301
(505) 762-3294
(505) 763-0062
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
63593729
NM
Other
Enumeration date
06/09/2007
Last updated
12/18/2007
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