Individual
CELESTE SELPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED PHARMACIS
Contact information
Practice address
701 E 20TH ST, FARMINGTON, NM 87401-4204
(505) 326-3342
Mailing address
701 E 20TH ST, FARMINGTON, NM 87401-4204
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007412
NM
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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