Individual
JEFFERY ALAN WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
205 CACTUS RD, GALLUP, NM 87301-5774
(505) 722-1185
(505) 726-8621
Mailing address
205 CACTUS RD, GALLUP, NM 87301-5774
(505) 722-1185
(505) 726-8621
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6155
ID
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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