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MESA PHARMACY OF PUEBLO INC. NPI 1710097969


NPI Information

NPI: 1710097969
Provider Name: MESA PHARMACY OF PUEBLO, INC.

Doing Business As: MESA PHARMACY

Classification: Pharmacist - 183500000X
Entity Type: Organization

CLIA Number: 06D2183449

Address:
25140 E US HIGHWAY 50
PUEBLO, CO
ZIP 81006
Phone: (719) 544-1371
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MESA PHARMACY OF PUEBLO, INC. is a pharmacist in Pueblo, CO. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. MESA PHARMACY OF PUEBLO, INC. NPI is 1710097969. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mesa Pharmacy.

The provider's business location address is:

25140 E US HIGHWAY 50
PUEBLO, CO
ZIP 81006-737
Phone: (719) 544-1371
Fax: (719) 546-1961

The provider's authorized official is Margaret A Frantz .
The authorized official title is Pharmacy Manager and has the following contact phone number (719) 544-1371.

The CLIA number assigned to this NPI record is 06D2183449 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 12/13/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183500000XPharmacist10429COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103589223MEDICAIDCOLORADO
25940970001MEDICARE NSCCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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