Individual
DR. STANLEY JASON MUCHNIKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2300 E LOHMAN AVE, LAS CRUCES, NM 88001-8492
(575) 647-2506
(575) 647-1933
Mailing address
2300 E LOHMAN AVE, LAS CRUCES, NM 88001-8492
(575) 647-2506
(575) 647-1933
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006726
NM
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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