Shane Allen Spacek, PHARMACIST
NPI #1285257634 in Bloomfield, New Mexico
Provider Information
- NPI Number
- 1285257634
- Entity Type
- Individual
- Name
- Shane Allen Spacek, PHARMACIST
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- PHARMACIST
- Enumeration Date
- May 20, 2020
- Last Updated
- May 20, 2020
Practice Location
- Address
- 6 ROAD 7586
- City
- Bloomfield
- State
- New Mexico
- ZIP Code
- 87413-4934
- Phone
- (505) 960-7860
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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