Healthcare Provider Details

I. General information

NPI: 1194533562
Provider Name (Legal Business Name): ZIA FAMILY HEALTH AND PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2024
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 E SANGER ST STE 600
HOBBS NM
88240-4405
US

IV. Provider business mailing address

305 E SANGER ST STE 600
HOBBS NM
88240-4405
US

V. Phone/Fax

Practice location:
  • Phone: 575-263-2908
  • Fax: 575-263-2909
Mailing address:
  • Phone: 575-263-2908
  • Fax: 575-263-2909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARK A POLING
Title or Position: OWNER
Credential: PHARM D
Phone: 575-263-2908