Individual
DR. JEFFERY SCOTT NYGREN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
4221 E MAIN ST, FARMINGTON, NM 87402-8637
(505) 325-1749
Mailing address
680 CERRILLOS DR, FARMINGTON, NM 87401-9263
(505) 327-2118
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006788
NM
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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