Individual
MRS. BRENDA DENISE CARLILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4500 N MAIN ST, ROSWELL, NM 88201-0305
(575) 624-2904
Mailing address
42151 LITTLE RIVER RD, TECUMSEH, OK 74873-7576
(719) 369-3022
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00005850
NM
Other
Enumeration date
11/16/2019
Last updated
11/16/2019
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