Individual
DR. MISTI MARLENE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D.
Contact information
Practice address
01 SAGEBRUSH, ISLETA, NM 87022
(505) 869-3200
(505) 899-2741
Mailing address
PO BOX 640, ISLETA, NM 87022-0640
(505) 869-3200
(505) 899-2741
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
RP00007576
NM
Other
Enumeration date
12/07/2010
Last updated
05/21/2013
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