Organization
GHAFFARI MEDICAL PHARMACY
Active
Other names
colonial heritage personal care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA R GHAFFARI (OWNER)
(505) 749-2915
Entity
Organization
Contact information
Practice address
815 W 14TH ST, CLOVIS, NM 88101-5514
(505) 762-3294
(505) 763-0062
Mailing address
121 W 5TH ST, CLOVIS, NM 88101-7301
(505) 762-3294
(505) 763-0062
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
85025038
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85025038
—
NM
Enumeration date
12/29/2006
Last updated
08/22/2020
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