Individual
MS. STEPHANIE ANN HEADRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1815 CENTRAL AVE NW, ALBUQUERQUE, NM 87104-1143
(505) 247-4141
(505) 843-6249
Mailing address
5322 IRONWOOD DR NW, ALBUQUERQUE, NM 87114-4630
(505) 898-0232
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
00005433
NM
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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