Organization
SW MESA CENTER FOR FAMILY AND COMMUNITY HEALTH PHARMACY
Active
Other names
SW Mesa Center for Family and Community Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
FRIEDA ORTEGA (DIRECTOR OF PHARMACY)
(505) 272-0526
Entity
Organization
Contact information
Practice address
301 UNSER BLVD NW STE 106, ALBUQUERQUE, NM 87121-1927
(505) 925-4451
(505) 925-4192
Mailing address
301 UNSER BLVD NW, STE 106, ALBUQUERQUE, NM 87121-1927
(505) 925-4451
(505) 925-4192
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH00003240
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3212103
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/28/2011
Last updated
03/13/2014
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