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Organization

SOMETHING DIFFERENT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CYDNI J. REYNOLDS RPH (PHARMACIST/OWNER)
(505) 287-7555
Entity
Organization

Contact information

Practice address
741 E ROOSEVELT AVE, GRANTS, NM 87020-2113
(505) 287-7555
Mailing address
741 E ROOSEVELT AVE, GRANTS, NM 87020-2113
(505) 287-7555

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH00003102
NM

Other

Enumeration date
07/30/2009
Last updated
07/30/2009
About Stedi
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  • EDI platform