Organization
CVS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE WEIDLOCKER PHARMD (PHARMACY SUPERVISOR)
(505) 983-5546
Entity
Organization
Contact information
Practice address
5516 CAMINO ARBUSTOS NE, ALBUQUERQUE, NM 87111
(505) 292-1821
Mailing address
511 W. CORDOVA RD, SANTA FE, NM 87501
(505) 983-5546
(505) 982-4463
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
00004647
NM
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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