Individual
KELLY D DILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 87106-4375
(505) 272-3120
(505) 272-8060
Mailing address
933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 87106-4375
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006789
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP00006789
PHARMACIST
NM
Enumeration date
03/18/2008
Last updated
12/11/2013
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