Individual
CATHERINE ANN FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
31 SHERWOOD BLVD, SMITH'S PHARMACY, LOS ALAMOS, NM 87544-3730
(505) 672-9457
Mailing address
31 SHERWOOD BLVD, SMITH'S FOOD AND DRUG PHARMACY, LOS ALAMOS, NM 87544-3730
(505) 672-9457
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00005167
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03315842
OH PHARMACIST LISCENSE
OH
01
—
RP00005167
NM RPH LISCENSE
NM
Enumeration date
10/14/2007
Last updated
09/20/2010
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