Individual
DESMOND FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1835 N MAIN ST, ROSWELL, NM 88201-5168
(575) 624-0423
Mailing address
2101 S TYLER ST, AMARILLO, TX 79109-2632
(806) 570-2638
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00009283
NM
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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