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General NPI Number Information
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NPI Number | 1295618791
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Entity Type | Organization
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Legal Business Name | MESILLA VALLEY PHARMACY & CONSULTING PC
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 4119 WHITE SAGE ARC STE F
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City | LAS CRUCES
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State | NM
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Zip | 88011-7326
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Country | US
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Telephone | 575-323-2093
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Fax |
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Provider Business Mailing Address
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Address Line | 4119 WHITE SAGE ARC STE F
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City | LAS CRUCES
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State | NM
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Zip | 88011-7352
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Country | US
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Telephone | 575-323-2093
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ROBERT WAYNE HOWARD
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Credential | PHARMACIST
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Telephone | 575-323-2093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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