Individual
JULIE ANNA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
SAN FELIPE HEALTH CLINIC PHARMACY, CEDAR STREET #4 SAN FELIPE PUEBLO, SAN FELIPE, NM 87001
(505) 867-2739
(505) 867-6527
Mailing address
5 CAMINO DE LA QUESTA DEL AIRE, PLACITAS, NM 87043-8837
(505) 867-2739
(505) 867-6527
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00005733
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BF030171
NISPC DIABETES MANAGEMENT
NM
01
—
RP00005733
PHARMACIST LICENSE
NM
Enumeration date
11/21/2005
Last updated
07/08/2007
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