Individual
CHARLES MAINA GACHENGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
801 W JOE HARVEY BLVD, HOBBS, NM 88240-0815
(575) 392-0053
Mailing address
3419 N DAL PASO ST, APARTMENT 8C, HOBBS, NM 88240-1519
(484) 356-7876
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007532
NM
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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