Organization
MESA PHARMACY OF PUEBLO, INC.
Active
Other names
Mesa Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET A FRANTZ RPH (PHARMACY MANAGER)
(719) 544-1371
Entity
Organization
Contact information
Practice address
25140 E US HIGHWAY 50, PUEBLO, CO 81006-9737
(719) 544-1371
(719) 546-1961
Mailing address
25140 E US HIGHWAY 50, PUEBLO, CO 81006-9737
(719) 544-1371
(719) 546-1961
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10429
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03589223
—
CO
Enumeration date
08/30/2006
Last updated
12/13/2007
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