Individual
TINA VALLABH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1550 S VALLEY DR, LAS CRUCES, NM 88005-3110
(575) 523-6844
Mailing address
2250 LAGUNA DR, LAS CRUCES, NM 88005-3954
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S021045
AZ
Other
Enumeration date
12/08/2014
Last updated
10/24/2017
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