Individual
ADRIANA GARCILAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
571 WALTON BLVD, LAS CRUCES, NM 88001-8449
(575) 524-3501
Mailing address
PO BOX 3143, ANTHONY, NM 88021-3143
(575) 805-0014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00009975
NM
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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