Individual
MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
70 CITIES OF GOLD RD, SANTA FE, NM 87506-0938
(505) 455-2256
Mailing address
2 DEER CT, LOS ALAMOS, NM 87544-3302
(505) 661-0234
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5775
NM
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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