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Individual

DR. MICAH LANSFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM. D.

Contact information

Practice address
305 E LLANO ESTACADO BLVD, CLOVIS, NM 88101-3778
(575) 762-3848
(575) 762-3840
Mailing address
305 E LLANO ESTACADO BLVD, CLOVIS, NM 88101-3778
(575) 762-3848
(575) 762-3840

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008406
NM

Other

Enumeration date
09/29/2015
Last updated
05/18/2026
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