NPI 1053601856

Marissa Anne Nolan, PHARMD

Practitioner Pharmacist Gallup, NM

Practice location

Address: 516 E Nizhoni Blvd, Gallup, NM 87301-5748
Phone: (505) 722-1185
Mailing address: 514 W Mesa Ave, Gallup, NM 87301-6466

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 025750 (GA)

Other Pharmacist providers in New Mexico →

Registry record

NPI: 1053601856
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Apr 2011
Record last updated: 13 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.