Individual
BRIAN WILLINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 HIGHWAY 180 E, SILVER CITY, NM 88061-7791
(575) 388-3113
(575) 388-3113
Mailing address
2501 HIGHWAY 180 E, SILVER CITY, NM 88061-7791
(575) 388-3113
(575) 388-3113
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00005507
NM
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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