Individual
MEGAN JOHANNA CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
236 W COLORADO AVE, TELLURIDE, CO 81435
(970) 728-1365
(970) 728-1366
Mailing address
3540 E MAIN ST, FARMINGTON, NM 87402-5329
(505) 564-3086
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
19010
CO
183500000X
Pharmacist
Primary
RP00007481
NM
Other
Enumeration date
08/09/2010
Last updated
03/04/2012
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