GRANT SUDHOLT

EDGEWOOD, NM
NPI1649689191
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: NM  RP6453)
Enumeration Date2014-08-08
Last Update Date2014-08-08
Business Address
-- GRANT SUDHOLT RPh
66 STATE ROAD 344
EDGEWOOD, NM 87015-6849
Phone number: 505-286-3053
Mailing Address
-- GRANT SUDHOLT RPh
PO BOX 1673
SANDIA PARK, NM 87047-1673
Phone number: 505-710-3452
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