Individual
MRS. LORRAINE M CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
10131 COORS BLVD NW, ALBUQUERQUE, NM 87114-4045
(505) 897-3961
Mailing address
5324 RIVER RIDGE AVE NW, ALBUQUERQUE, NM 87114-3664
(505) 922-8929
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006219
NM
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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