Healthcare Provider Details

I. General information

NPI: 1518271683
Provider Name (Legal Business Name): MARLENA ELIZABETH LIMON PHARMD, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2010
Last Update Date: 07/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3041 N MAIN ST
LAS CRUCES NM
88001-1164
US

IV. Provider business mailing address

3041 N MAIN ST
LAS CRUCES NM
88001-1164
US

V. Phone/Fax

Practice location:
  • Phone: 575-647-8878
  • Fax: 575-647-8252
Mailing address:
  • Phone: 575-647-8878
  • Fax: 575-647-8252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number42892
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP00007250
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: