NPI 1043393077

Tony Pesavento

Organisation Community/Retail Pharmacy Springer, NM

Practice location

Address: 825 4th Street, Springer, NM 87747
Phone: (575) 483-2356
Fax: (575) 483-2225
Mailing address: PO Box 427, Springer, NM 87747-0427

Authorised official

Name: Tony Pesavento
Title: Owner
Phone: (575) 483-2356

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence PH00003052 (NM)

Other Pharmacy providers in New Mexico →

Registry record

NPI: 1043393077
Entity type: Organization
NPI issued: 23 Oct 2006
Record last updated: 9 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.