Organization
MT. CRISTO PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHRDAD POURJAVAHERI PHARMD (MANAGER)
(575) 332-9393
Entity
Organization
Contact information
Practice address
1155 MCNUTT RD STE 110, SUNLAND PARK, NM 88063-9175
(575) 332-9393
(575) 332-9391
Mailing address
1155 MCNUTT RD, SUITE110, SUNLAND PARK, NM 88063-8148
(575) 332-9393
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/25/2020
Last updated
06/22/2021
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