Individual
MR. EDWIN GRANT SCOTT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
955 S. SECOND ST., RATON, NM 87740
(575) 445-3131
(575) 445-5393
Mailing address
955 S. SECOND ST., RATON, NM 87740
(575) 445-3131
(575) 445-5393
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006144
NM
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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