Individual provider · NPI-1

Marjorie Anne Grant

Pharmacy Technician · Alamogordo, NM

NPI number1578069860
StatusActive
Last updated in NPPESApr 4, 2018

Details

NPI
1578069860
Entity type
Individual (NPI-1)
Name
Marjorie Anne Grant
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 4, 2018
Last updated
Apr 4, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183700000X Pharmacy TechnicianPT00009594NMYes

Practice location

2559 Medical Dr
Alamogordo, NM 88310-8703

Phone 575-443-7933 · Fax 575-443-7910

Mailing address

2559 Medical Dr
Alamogordo, NM 88310-8703

Phone 575-443-7933

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