Organization
BESTCARE MESA
Active
Other names
Mesa Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACHARY R WAINWRIGHT PHARMD (PIC)
(575) 245-6372
Entity
Organization
Contact information
Practice address
1279 S 2ND ST, RATON, NM 87740-2234
(575) 245-6372
Mailing address
1279 S 2ND ST, RATON, NM 87740-2234
(575) 245-6372
(575) 245-3291
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52024300
—
NM
01
—
PH00005217
PHARMACY LICENSE
NM
Enumeration date
07/06/2021
Last updated
03/20/2023
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