Individual
ESEOSA EGHAREVBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
604 N 26TH ST, ARTESIA, NM 88210-3723
(575) 746-6137
(575) 746-6767
Mailing address
2602 W RICHEY AVE APT 1705, ARTESIA, NM 88210-9673
(575) 513-0650
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008666
NM
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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