Individual
LASHLEY HATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S019181
AZ
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PC00000248
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC00000248
NEW MEXICO PHARMACIST CLINICIAN
NM
01
—
S019181
AZ PHARMACY LICENSE
AZ
Enumeration date
07/11/2012
Last updated
03/31/2016
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