Individual
JARED W WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D, RPH
Contact information
Practice address
205 SILVER AVE SW STE D, ALBUQUERQUE, NM 87102-3593
(505) 705-3540
(505) 847-0617
Mailing address
205 SILVER AVE SW STE D, ALBUQUERQUE, NM 87102-3593
(505) 705-3540
(505) 847-0617
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00009192
NM
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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