Individual
SAMANTHA NICOLE TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D.
Contact information
Practice address
85 W HWY 22, SANTO DOMINGO, NM 87052
(505) 465-3073
(505) 465-1178
Mailing address
PO BOX 559, SANTO DOMINGO PUEBLO, NM 87052-0559
(505) 465-3073
(505) 465-1178
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007818
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP00007818
NEW MEXICO BOARD OF PHARMACY
NM
Enumeration date
08/14/2012
Last updated
08/14/2012
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