-- CHARLES NMI VANDIVER R.Ph., Ph.C. ⚕️ New Mexico 1306861166

NPI	1306861166
Entity Type	Individual
Gender	Male
Sole Proprietor ?	Yes
Primary Taxonomy	1835P1200X Pharmacist, Pharmacotherapy (Licence: NM PC00000033)
Enumeration Date	2006-07-13
Last Update Date	2023-03-07

-- CHARLES NMI VANDIVER R.Ph., Ph.C.

1422 PASEO DE PERALTA

SANTA FE, NM 87501-4391

Phone number: 505-289-3291

-- CHARLES NMI VANDIVER R.Ph., Ph.C.

PO BOX 307 11 PRESTON TRAIL

ANGEL FIRE, NM 87710-0307

Phone number: 505-377-2548