Individual
CRAIG B DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
811 PASEO DEL PUEBLO SUR, TAOS, NM 87571-6395
(575) 758-1704
Mailing address
PO BOX 3439, TAOS, NM 87571-3439
(503) 449-5707
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008135
NM
183500000X
Pharmacist
RPH-0013940
OR
Other
Enumeration date
03/29/2014
Last updated
02/12/2017
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