# MESA PHARMACY OF PUEBLO, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mesa Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710097969
- **Authorized official:** MARGARET A FRANTZ RPH (PHARMACY MANAGER)
- **Authorized official phone:** (719) 544-1371

## Contact information

- **Practice address:** 25140 E US HIGHWAY 50, PUEBLO, CO 81006-9737
- **Practice address phone:** (719) 544-1371
- **Practice address fax:** (719) 546-1961
- **Mailing address:** 25140 E US HIGHWAY 50, PUEBLO, CO 81006-9737
- **Mailing address phone:** (719) 544-1371
- **Mailing address fax:** (719) 546-1961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 10429 | CO | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 12/13/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 03589223 | — | CO |