Individual
SAMUEL JUSTIN EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
700 E 21ST ST, CLOVIS, NM 88101-3703
(575) 762-3851
Mailing address
700 E 21ST ST, CLOVIS, NM 88101-3703
(575) 562-3851
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
36216
TX
183500000X
Pharmacist
Primary
RP00007231
NM
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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