Individual
MICHAEL KEKOA ANDREWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
600 E 20TH ST, FARMINGTON, NM 87401-2108
(505) 325-1774
Mailing address
600 E 20TH ST, FARMINGTON, NM 87401-2108
(505) 325-1774
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007672
NM
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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