Individual
DR. STACEY W WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1700 CERRILLOS RD, SANTA FE INDIAN HOSPITAL - PHARMACY DEPT, SANTA FE, NM 87505-3554
(505) 946-9387
Mailing address
1700 CERRILLOS RD, SANTA FE INDIAN HOSPITAL- PHARMACY DEPARTMENT, SANTA FE, NM 87505-0000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11154
NE
Other
Enumeration date
07/09/2005
Last updated
09/02/2010
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