Individual
MRS. VALARI KIM SHANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
1941 SOUTHERN BLVD SE, RIO RANCHO, NM 87124-3510
(505) 891-8186
(505) 892-8017
Mailing address
1941 SOUTHERN, RIO RANCHO, NM 87124
(505) 891-9186
(505) 892-8017
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00005714
NM
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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