Mt. Cristo Pharmacy LLC
NPI #1790384261 in Sunland Park, New Mexico
Provider Information
- NPI Number
- 1790384261
- Entity Type
- Organization
- Organization Name
- Mt. Cristo Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 25, 2020
- Last Updated
- Jun 22, 2021
Practice Location
- Address
- 1155 MCNUTT RD STE 110
- City
- Sunland Park
- State
- New Mexico
- ZIP Code
- 88063-9175
- Phone
- (575) 332-9393
Authorized Official
- Name
- MEHRDAD POURJAVAHERI, PHARMD
- Title
- MANAGER
- Phone
- (575) 332-9393
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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