Individual
CHERYL VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1835 N MAIN ST, ROSWELL, NM 88201
(575) 624-0423
Mailing address
1202 SEVILLE ST, ROSWELL, NM 88201-8311
(865) 201-6134
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8510
NM
Other
Enumeration date
07/15/2016
Last updated
07/11/2018
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