Individual
MRS. MARGARET L CORYAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
602 UNIVERSITY AVE, LAS VEGAS, NM 87701-4248
(505) 425-6241
(505) 425-8510
Mailing address
PO BOX 679, MORA, NM 87732-0679
(505) 425-6161
(505) 425-8510
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006147
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP00006147
PHARMACIST - CATALYST RX
NM
Enumeration date
04/14/2007
Last updated
07/08/2007
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