Tony Pesavento

NPI 1043393077 - Pharmacy - 3336C0003X

NPI Details
NPI 1043393077
Enumeration Date 10/23/2006
Last Updated 01/09/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TONY TONY
Position OWNER
Phone (575) 483-2356
Fax (575) 483-2225
Practice Location
825 4TH STREET
SPRINGER NM, 87747, US
Phone (575) 483-2356
Fax (575) 483-2225
Business Location
PO BOX 427
SPRINGER NM, 87747-0427, US
Phone (575) 483-2356
Fax (575) 483-2225
Toxanomy
Taxonomy Code 3336C0003X
License State New Mexico
License Number PH00003052
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According to our database, Tony Pesavento NPI is 1043393077, taxonomy code is 3336C0003X and license number is PH00003052, license state is located at New Mexico. Tony Pesavento physically located at 825 4th Street, Springer NM, 87747. NPI Number 1033115704 has the healthcare provider type.

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1043393077 NPI number is provided on an as is basis without warranty of any kind. 1043393077 is maintained by the National Plan & Provider Enumeration System. The contents of Tony Pesavento are for informational purposes only.