Individual
MR. ERNESTO MASCARENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
501 OLD SANTA FE TRL, SANTA FE, NM 87505-0306
(505) 455-2256
(505) 455-7929
Mailing address
501 OLD SANTA FE TRL, SANTA FE, NM 87505-0306
(505) 455-2256
(505) 455-7929
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4536
NM
Other
Enumeration date
04/24/2015
Last updated
02/17/2017
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