Individual
PERCY E COLLYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4221 E MAIN ST, FARMINGTON, NM 87402-8637
(505) 325-1749
(505) 325-0262
Mailing address
4221 E MAIN ST, FARMINGTON, NM 87402-8637
(505) 325-1749
(505) 325-0262
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006438
NM
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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