Individual
DREW NEVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301
(505) 722-1000
Mailing address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16188
NE
390200000X
Student in an Organized Health Care Education/Training Program
8521
NE
Other
Enumeration date
06/27/2018
Last updated
08/23/2018
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