Deeana Erica Graham
Pharmacist in Albuquerque, NM. Individual provider (NPI-1).
NPI number1033763586
StatusActive
Last updated in NPPESApr 15, 2021
Details
- NPI
- 1033763586
- Entity type
- Individual (NPI-1)
- Name
- Deeana Erica Graham
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2019
- Certification date
- Apr 15, 2021
- Last updated
- Apr 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | RP00009147 | NM | Yes |
Practice location
4016 Louisiana Blvd NeAlbuquerque, NM 87110-1447
Phone 505-884-0307
Mailing address
8323 Santa Clarita St NeAlbuquerque, NM 87113-2839
Phone 505-695-0180
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All 921 Pharmacist providers in Albuquerque · All 29,333 providers in Albuquerque
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