Individual
CHRISTOPHER COLGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3011 N MAIN ST, LAS CRUCES, NM 88001-1164
(575) 647-8878
Mailing address
2877 CHEYENNE DR, LAS CRUCES, NM 88011-5232
(860) 885-8667
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
11980
CT
183500000X
Pharmacist
35740
SC
183500000X
Pharmacist
82074
CA
183500000X
Pharmacist
Primary
9921
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35740
SC LICENSE PHARMACY
SC
01
—
72915
TX PHARMACIST LICENSE
TX
01
—
82074
CA PHARMACIST LICENSE
CA
01
—
9921
NM PHARMACIST LICENSE
NM
Enumeration date
09/02/2014
Last updated
12/26/2023
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