Provider Demographics
NPI:1932339421
Name:GUERRERO, MELINDA E (RPH)
Entity Type:Individual
Prefix:MS
First Name:MELINDA
Middle Name:E
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 E LOHMAN AVE
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88001-8492
Mailing Address - Country:US
Mailing Address - Phone:575-647-2506
Mailing Address - Fax:575-647-1933
Practice Address - Street 1:2300 E LOHMAN AVE
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-8492
Practice Address - Country:US
Practice Address - Phone:575-647-2506
Practice Address - Fax:575-647-1933
Is Sole Proprietor?:No
Enumeration Date:2009-07-20
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCS00008222183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist