NPI 1114251568

Jennifer Jeanne Lyon, PHARMD

Practitioner Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist San Fidel, NM

Practice location

Address: I-40 Exit 102, San Fidel, NM 87049
Phone: (505) 552-5395
Mailing address: PO Box 130, San Fidel, NM 87049-0130

Registered specialties

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary

Pharmacy Service Providers Taxonomy 1835P0018X Licence 1535 (AK)

Other Pharmacist providers in New Mexico →

Registry record

NPI: 1114251568
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Oct 2009
Record last updated: 1 Oct 2009

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.