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NPI Code Detail

MEDICARE: DAVID M LANSFORD, PC

MEDICARE: DAVID M LANSFORD, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
2183500000XPharmacist
31835I0206XInfectious Diseases Pharmacist
41835P2201XAmbulatory Care Pharmacist
51835P1200XPharmacotherapy Pharmacist
6333600000XPharmacy
7183700000XPharmacy Technician
83336C0003XCommunity/Retail Pharmacy1846NM

General Provider Information

NPI Number : 1346455680
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID M LANSFORD, PC
Provider Business Mailing Address
First Line : 305 E LLANO ESTACADO BLVD
Second Line :
City : CLOVIS
State : NM
Zip : 88101-3778
Country : US
Telephone Number : 575-762-3848
Fax Number : 575-762-3840
Provider Business Practice Location Address
First Line : 305 E LLANO ESTACADO BLVD
Second Line :
City : CLOVIS
State : NM
Zip : 88101-3778
Country : US
Telephone Number : 575-762-3848
Fax Number : 575-762-3840
Authorized Official
Title or Position : OWNER / PHARMACIST
Name : DR. MICAH ANDREW LANSFORD
Credential : PHARM. D., RPH
Telephone Number : 575-762-3848
Provider Enumeration Date : 05/11/2007
Last Update Date : 02/09/2026

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