Most Relevant Information
Provider Data
NPI Number: | 1083617039 |
Provider Name: | DEBORAH ANN STANLEY PHARM.D., BCPP, PHC |
Entity Type: | Individual |
Taxonomy Code: | 1835P1300X |
Specialty: | Pharmacist |
License Number: | PC00000035 |
Most Important Dates
Enumeration Date: | 05/23/2005 |
Last Updated: | 07/08/2007 |
Provider Practice Location
700 FRIEDMAN AVE
LAS VEGAS
NM
877014231
Practice Location Phone/Fax
Phone: | 5054545125 |
Fax: | 5054545179 |
Provider Mailing Location
PO BOX 93
LAS VEGAS
NM
877010093
Provider Mailing Phone/Fax
Phone: | 5054545125 |
Fax: | 5054545179 |