Provider Demographics
NPI:1942365960
Name:SIRGANY, JAIME MARION (RPH)
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:MARION
Last Name:SIRGANY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2251 RIO GRANDE LN NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107-5501
Mailing Address - Country:US
Mailing Address - Phone:505-898-3135
Mailing Address - Fax:505-898-3135
Practice Address - Street 1:2251 RIO GRANDE LN NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-5501
Practice Address - Country:US
Practice Address - Phone:505-898-3135
Practice Address - Fax:505-898-3135
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM4470183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist