Individual
MARJORIE HOGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 ABALONE LOOP, MESCALERO, NM 88340
(575) 464-4441
Mailing address
308 ABALONE LOOP, MESCALERO, NM 88340
(575) 464-4441
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11290
CO
1835G0303X
Geriatric Pharmacist
11290
CO
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
11290
CO
1835P1200X
Pharmacotherapy Pharmacist
11290
CO
1835P1300X
Psychiatric Pharmacist
11290
CO
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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