Individual provider · Type 1 NPI

Jean L. Dutra, RPH

Pharmacist · Mescalero, NM

NPI number 1124127501 Active

Practice location

318 Abalone Loop, Mescalero Ludian Hospital
Mescalero, NM 88340-0210

Call (505) 464-4441 Map

Fax (505) 464-4422

Mailing address

3727 Driftwood Ave
Alamogordo, NM 88310-3727

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X029534 (MO)
Pharmacist Primary 183500000X4480 (NM)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1124127501

Jean L. Dutra, RPH's National Provider Identifier is 1124127501, issued on Sep 21, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Mescalero, NM. The record was last updated on Jul 8, 2007.