Individual
CARLOS G MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 S 2ND ST, TUCUMCARI, NM 88401-2821
(575) 461-2784
Mailing address
2601 S 4TH ST, TUCUMCARI, NM 88401-4212
(575) 815-8789
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00009533
NM
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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