Individual
JOSHUA DAVID VALGARDSON
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) 722-1185
Mailing address
3716 CINIZA DR, GALLUP, NM 87301-4544
(505) 409-5787
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21744
NC
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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