Joshua Bacon, PHARMD
NPI #1013224237 in Shiprock, New Mexico
Provider Information
- NPI Number
- 1013224237
- Entity Type
- Individual
- Name
- Joshua Bacon, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Sep 9, 2010
- Last Updated
- Sep 9, 2010
Practice Location
- Address
- HIGHWAY 666 NORTH
- Address 2
- MEDICAL CENTER COMPLEX
- City
- Shiprock
- State
- New Mexico
- ZIP Code
- 87420
- Phone
- (505) 368-7227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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