Individual
VICKY S CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
516 NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1185
Mailing address
528 LACIMA RD, GALLUP, NM 87301-5739
(505) 722-1185
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
8756
AZ
Other
Enumeration date
07/16/2005
Last updated
07/08/2007
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