Individual
STACEY DEBRA DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4005 HIGH RESORT BLVD SE, RIO RANCHO, NM 87124-5906
(505) 253-6000
(505) 253-8619
Mailing address
4005 HIGH RESORT BLVD SE, RIO RANCHO, NM 87124-5906
(505) 253-6000
(505) 253-8619
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PC00000270
NM
183500000X
Pharmacist
RP00007514
NM
Other
Enumeration date
10/22/2011
Last updated
12/12/2016
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