Organization
WALMART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESEOSA EGHAREVBA PHARM D (PHARMACIST)
(575) 513-0650
Entity
Organization
Contact information
Practice address
604 N 26TH ST, ARTESIA, NM 88210-3723
(575) 746-6137
Mailing address
2602 W RICHEY AVE APT 1705, ARTESIA, NM 88210-9673
(575) 513-0650
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
RP00008666
NM
Other
Enumeration date
03/12/2017
Last updated
03/12/2017
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