Organization
GHAFFARI MEDICAL PHARMACY INC
Active
Other names
COLONIAL HERITAGE PERSONAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LINDA ROSE GHAFFARI (CEO)
(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) 749-2915
(575) 763-0062
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36572729
—
NM
Enumeration date
01/10/2008
Last updated
01/10/2008
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