Individual
ALEXANDRA PODOSEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
JUNCTION OF HIGHWAY 371 AND ROUTE 9, CROWNPOINT, NM 87313
(505) 786-6344
Mailing address
PO BOX 1688, CROWNPOINT, NM 87313-1688
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P8450
ID
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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