Individual
STACI NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
7103 4TH ST NW STE G, LOS RANCHOS, NM 87107-6675
(505) 358-7155
(866) 333-9771
Mailing address
7103 4TH ST NW STE G, LOS RANCHOS, NM 87107-6675
(505) 358-7155
(866) 333-9771
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6605
NM
Other
Enumeration date
10/17/2016
Last updated
02/05/2021
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