Individual
DR. MADELEINE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
13000 INDIAN SCHOOL RD NE, ALBUQUERQUE, NM 87112-4803
(505) 298-0413
Mailing address
1033 GIRARD BLVD NE, ALBUQUERQUE, NM 87106-2014
(505) 206-3608
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
9585
NM
3336C0003X
Community/Retail Pharmacy
Primary
RP00009585
NM
Other
Enumeration date
10/12/2021
Last updated
10/25/2022
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