Individual
SCOTT MICHAEL KERSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2400 UNSER BLVD SE, RIO RANCHO, NM 87124-3392
(505) 253-7501
Mailing address
1829 TERRA DE SOL DR SE, RIO RANCHO, NM 87124-8864
(406) 274-2931
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PHA-PHA-LIC-7728
MT
183500000X
Pharmacist
Primary
RP00009121
NM
Other
Enumeration date
06/13/2026
Last updated
06/13/2026
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