Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JEAN L DUTRA, RPH
ActiveMS. JEAN L DUTRA, RPH is a Pharmacist healthcare provider located in MESCALERO, New Mexico. NPI 1124127501 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · MESCALERO, NM
Registration Details
- NPI Number
- 1124127501
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 21, 2006 (19.872985004676 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
029534 (MO)4480 (NM)
Practice Information
- Address
-
318 ABALONE LOOPMESCALERO LUDIAN HOSPITALMESCALERO, NM, 883400210Browse NM providers · Browse ZIP 88340
- Phone
- 5054644441
- Fax
- 5054644422
- Primary Specialty
-
Pharmacist
183500000X
- Additional Specialty
- Pharmacist
Other Pharmacist Providers in MESCALERO, NM
| Name | Credential | NPI |
|---|---|---|
| MR. JOHN LAWRENCE SICKMAN | PHARM. D. | 1841377306 |
| MARJORIE HOGUE | — | 1487030755 |
| JIALI HE | — | 1639643232 |
| MICHELLE LIN | PHARMD | 1790440824 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.