Individual
MARY HAYASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4500 E MAIN ST, FARMINGTON, NM 87402-8665
(505) 326-5384
(505) 326-6920
Mailing address
4500 E. MAIN ST, FARMINGTON, NM 87402
(505) 326-5384
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00005107
NM
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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