Individual
MARIAH J LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6000 COORS BLVD NW, ALBUQUERQUE, NM 87120-2702
(505) 899-0989
Mailing address
7801 GRAYSON RD NW, ALBUQUERQUE, NM 87120-5550
(505) 453-2895
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00009718
NM
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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