GRANT SUDHOLT, RPH
Pharmacy at State Road 344, Edgewood, NM

License number
New Mexico RP6453
Category
Pharmacy
Type
Pharmacist
Address
Address 2
66 State Road 344, Edgewood, NM 87015
PO Box 1673, San Antonito, NM 87047
Phone
(505) 286-3053
(505) 710-3452
National Provider ID: 1649689191
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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