Individual
CHRISTOPHER LIVESAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
700 E 21ST ST, CLOVIS, NM 88101-3703
(575) 762-3851
Mailing address
700 E 21ST ST, CLOVIS, NM 88101-3703
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
55735
TX
183500000X
Pharmacist
Primary
RP00008250
NM
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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