Individual
DR. MARTIN JAGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1202 N RIVERSIDE DR, CVS PHARMACY, ESPANOLA, NM 87532-2976
(505) 367-3594
(505) 367-0805
Mailing address
7403 NDCBU, TAOS, NM 87571
(505) 737-5361
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5014
NM
Other
Enumeration date
05/27/2005
Last updated
10/02/2012
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