Individual
DR. PEGGY ANN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1397 WEIMER RD, PHARMACY DEPARTMENT, TAOS, NM 87571-6253
(575) 737-3377
Mailing address
1397 WEIMER RD, PHARMACY DEPARTMENT, TAOS, NM 87571-6253
(575) 737-3377
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7590
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
282NR1301X
ACUTE HOSPITAL RURAL
NM
01
—
6432
HOSPITAL LICENSE NUMBER
NM
01
—
85-0289839
TAX ID
NM
Enumeration date
02/26/2013
Last updated
02/26/2013
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