Individual
ELLIOTT MELVIN TSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4600 E MAIN ST, FARMINGTON, NM 87402-8603
(505) 326-1197
Mailing address
4600 E MAIN ST, FARMINGTON, NM 87402-8603
(505) 326-1197
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007327
NM
Other
Enumeration date
02/19/2010
Last updated
03/03/2015
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