| Pharmacy 575 | |
|
305 E Sanger St Ste 600 Hobbs NM 88240-4405 | |
| (575) 263-2908 | |
| (575) 263-2909 |
| Full Name | Pharmacy 575 |
|---|---|
| Speciality | Pharmacy |
| Location | 305 E Sanger St Ste 600, Hobbs, New Mexico |
| Authorized Official Name and Position | Mark Andrew Poling (MEMBER) |
| Authorized Official Contact | 4054011264 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pharmacy 575 305 E Sanger St Ste 600 Hobbs NM 88240-4405 Ph: (575) 263-2908 | Pharmacy 575 305 E Sanger St Ste 600 Hobbs NM 88240-4405 Ph: (575) 263-2908 |
| NPI Number | 1912512088 |
|---|---|
| Provider Enumeration Date | 09/15/2020 |
| Last Update Date | 06/07/2024 |
| Medicare PECOS PAC ID | 6204233497 |
|---|---|
| Medicare Enrollment ID | O20211001000126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912512088 | NPI | - | NPPES |
| 12339512 | Medicaid | NM |
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