Individual
MRS. LORI ALISON AUTREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
111 WEST BROADWAY, MOUNTAINAIR, NM 87036
(505) 847-0242
(505) 847-0252
Mailing address
PO BOX 969, 111 W, BROADWAY, MOUNTAINAIR, NM 87036-0969
(505) 847-0242
(505) 847-0252
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH00006163
NM
Other
Enumeration date
12/24/2007
Last updated
12/24/2007
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