Individual
DR. EDWARD N. YALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHC
Contact information
Practice address
516 NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1185
Mailing address
1708 BOULDER DR, GALLUP, NM 87301-5703
(505) 722-3117
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
131
NM
1835P1200X
Pharmacotherapy Pharmacist
11552
OK
1835P1200X
Pharmacotherapy Pharmacist
6731
NM
Other
Enumeration date
06/30/2005
Last updated
04/02/2008
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