Individual
DR. ADAM THOMAS GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
1115 N RIVERSIDE DR, ESPANOLA, NM 87532-2802
(505) 753-7005
Mailing address
2327 37TH ST APT B, LOS ALAMOS, NM 87544-2890
(505) 670-8582
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007157
NM
Other
Enumeration date
08/29/2009
Last updated
08/29/2009
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