Individual
SALLIE ENCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
110 SHEEPSPRINGS RD, JEMEZ PUEBLO, NM 87024
(505) 834-0130
Mailing address
212 TULANE DR SE, ALBUQUERQUE, NM 87106-1414
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6358
NM
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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