Grant Sudholt, RPH

NPI #1649689191 in Edgewood, New Mexico

Provider Information

NPI Number
1649689191
Entity Type
Individual
Name
Grant Sudholt, RPH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Aug 8, 2014
Last Updated
Aug 8, 2014

Practice Location

Address
66 STATE ROAD 344
ZIP Code
87015-6849
Phone
(505) 286-3053

Specialties & Taxonomy Codes

Specialty
Pharmacist

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