JOSHUA BACON

SHIPROCK, NM
NPI1013224237
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  S016886)
Enumeration Date2010-09-09
Last Update Date2010-09-09
Business Address
JOSHUA BACON PHARMD
HIGHWAY 666 NORTH MEDICAL CENTER COMPLEX
SHIPROCK, NM 87420
Phone number: 505-368-7227
Mailing Address
JOSHUA BACON PHARMD
PO BOX 829
FLORA VISTA, NM 87415-0829
Phone number:
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