Individual
ALEXSIS KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH233933
MA
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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