Individual
DR. TONY JACINTO PROSSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2509 CUTLER AVE NE, ALBUQUERQUE, NM 87106-2509
(505) 232-3856
Mailing address
2509 CUTLER AVE NE, ALBUQUERQUE, NM 87106-2509
(505) 232-3856
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6110
NM
Other
Enumeration date
10/29/2006
Last updated
07/08/2007
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