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Individual

INNA VOINICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
12000 STONE LAKE ROAD, DULCE, NM 87528-0187
(575) 759-7250
(575) 759-7288
Mailing address
PO BOX 187, DULCE, NM 87528-0187
(575) 759-7250
(575) 759-7288

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18451
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000K3526
NM
Enumeration date
02/25/2010
Last updated
02/25/2010
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