Healthcare Provider Details

I. General information

NPI: 1740629955
Provider Name (Legal Business Name): APPOLINAIRE NARI PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2013
Last Update Date: 06/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

INTERSECTION HWY 371 AND RTE 9
CROWNPOINT NM
87313
US

IV. Provider business mailing address

PO BOX 2074
CROWNPOINT NM
87313-2074
US

V. Phone/Fax

Practice location:
  • Phone: 505-786-6344
  • Fax: 505-786-2526
Mailing address:
  • Phone: 718-666-1962
  • Fax: 505-786-2526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number28R03231300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: