Provider Demographics
NPI:1659789311
Name:NAJERA, RAUL ENRIQUE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RAUL
Middle Name:ENRIQUE
Last Name:NAJERA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:ENRIQUE
Other - Middle Name:
Other - Last Name:NAJERA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:4371 E LOHMAN AVE
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-8443
Mailing Address - Country:US
Mailing Address - Phone:575-532-8919
Mailing Address - Fax:575-532-7910
Practice Address - Street 1:4371 E LOHMAN AVE
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-8443
Practice Address - Country:US
Practice Address - Phone:575-532-8919
Practice Address - Fax:575-532-7910
Is Sole Proprietor?:No
Enumeration Date:2014-07-25
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00007750183500000X
TX50296183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist