Individual
MS. TERRY LYNN ADDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
127 E. SUMNER AVE., FORT SUMNER, NM 88119-0550
(505) 355-7357
(505) 355-7816
Mailing address
PO BOX 550, FORT SUMNER, NM 88119-0550
(505) 355-7357
(505) 355-7816
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00003929
NM
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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