Individual
MICHAEL JAFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
PO BOX 467, ZUNI, NM 87327-0467
(505) 782-4431
(505) 782-7405
Mailing address
201 PINNACLE DRIVE, APT. 3622, RIO RANCHO, NM 87124-0997
(505) 358-8798
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PHA0021706
CO
183500000X
Pharmacist
Primary
RP00008075
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHA0021706
COLORADO BOARD OF PHARMACY
CO
01
—
RP00008075
NEW MEXICO BOARD OF PHARMACY
NM
Enumeration date
07/17/2016
Last updated
01/29/2018
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