Individual
MR. KENNETH ROMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2801 RODEO RD STE A1, SANTA FE, NM 87507-6503
(505) 471-6177
(505) 471-3822
Mailing address
PO BOX 1545, MORIARTY, NM 87035-1545
(505) 384-2894
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006622
NM
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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