Individual
RAYMOND N COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 VASSAR DR NE, ALBUQUERQUE, NM 87106-2725
(505) 867-2497
Mailing address
801 VASSAR DR NE, ALBUQUERQUE, NM 87106-2725
(505) 867-2497
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007712
NM
Other
Enumeration date
08/21/2011
Last updated
10/31/2014
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