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Individual

MR. LIONEL CHRIS ANAYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
9700 CENTRAL AVE SW, ALBUQUERQUE, NM 87121-7631
(505) 833-7598
Mailing address
1613 BLUFFSIDE PL NW, ALBUQUERQUE, NM 87105-1001
(505) 836-4842

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
183500000X
NM

Other

Enumeration date
09/03/2009
Last updated
09/04/2010
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