Something Different, LLC
NPI #1811128440 in Grants, New Mexico
Provider Information
- NPI Number
- 1811128440
- Entity Type
- Organization
- Organization Name
- Something Different, LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jul 30, 2009
- Last Updated
- Jul 30, 2009
Practice Location
- Address
- 741 E ROOSEVELT AVE
- City
- Grants
- State
- New Mexico
- ZIP Code
- 87020-2113
- Phone
- (505) 287-7555
Authorized Official
- Name
- CYDNI J. REYNOLDS, RPH
- Title
- PHARMACIST/OWNER
- Phone
- (505) 287-7555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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