Individual
LACEY SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1835 N. MAIN, ROSWELL, NM 88201
(575) 622-0423
Mailing address
1835 N MAIN ST, ROSWELL, NM 88201-5168
(575) 622-0423
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008274
NM
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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