Organization
MESA PHARMA INC
Active
Other names
MESA HILLS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT NARAWANE (PRESIDENT)
(915) 308-2050
Entity
Organization
Contact information
Practice address
310 S MESA HILLS DR STE C, EL PASO, TX 79912-5881
(915) 308-2050
(915) 283-4646
Mailing address
310 S MESA HILLS DR STE C, EL PASO, TX 79912-5881
(915) 308-2050
(915) 283-4646
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31202
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149571
—
TX
01
—
2167325
PK
—
Enumeration date
01/18/2017
Last updated
03/20/2017
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