Individual
DR. TRACEY A JAGLOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH, PHC, MS
Contact information
Practice address
2711 N TELSHOR BLVD, LAS CRUCES, NM 88011-8202
(575) 521-7890
Mailing address
7356 VISTA DE SOBRE DR, LAS CRUCES, NM 88012-0714
(505) 554-0488
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP00007713
NM
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PC00000313
NM
Other
Enumeration date
08/29/2012
Last updated
12/22/2023
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