Individual
DR. STARR TELIA SHANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D, RPH
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(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
0202217084
VA
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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