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-- SHARLENE LYNETTE MAGDALENA --

Individual Provider (NPI-1) Active

Pharmacy Technician

Provider Information

NPI Number
1770621773
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
110 SHEEPSPRINGS RD, JEMEZ PUEBLO, NM, 87024
Phone
(505) 834-0130
Fax
(505) 834-3080

Specialties & Taxonomies

Pharmacy Technician Primary License: NM #00002194

All Addresses

MAILING

5152 HIGHWAY 4

JEMEZ PUEBLO, NM, 87024

(505) 834-0130

LOCATION

110 SHEEPSPRINGS RD

JEMEZ PUEBLO, NM, 87024

(505) 834-0130