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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JESSICA LAUREN STAFFORD, PHARMD

Active Sole Proprietor

Pharmacist · AZTEC, NM

Registration Details

NPI Number
1558795039
Provider Type
Individual
Gender
Female
NPI Issued
Sep 3, 2013 (12.631134503502 yrs)
Last Updated
Dec 7, 2019
Licenses
RP448112 (PA)
RP00008347 (NM)
Sole Proprietor
Yes

Practice Information

Address
415 N MAIN AVE
AZTEC, NM, 874101927
Browse NM providers · Browse ZIP 87410
Phone
2162722620
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist

Other Pharmacist Providers in AZTEC, NM

Name Credential NPI
WILLIAM BEYHAN R.PH. 1902020589
MR. JACK FIELDS SONA II RPH 1730392101
CELINA STUMPP 1801058961
DR. SCOTT LINGO PHARMD 1730424151
DR. AMBER BUTTON PHARMD 1326574047
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.