Individual
DAVID SCOTT GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5400 GIBSON BLVD SE, ATTN: PHARMACY ADMINISTRATION, ALBUQUERQUE, NM 87108-4729
(505) 262-3973
(505) 262-7842
Mailing address
5400 GIBSON BLVD SE, ATTN: PHARMACY ADMINISTRATION, ALBUQUERQUE, NM 87108-4729
(505) 262-3973
(505) 262-7842
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP6846
NM
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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