Individual
RAY HARRIS BRANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD. RPH
Contact information
Practice address
516 NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1185
Mailing address
PO BOX 4964, GALLUP, NM 87305-4964
(505) 778-5936
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16334
NC
Other
Enumeration date
07/18/2005
Last updated
07/08/2007
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