Individual
NATHAN BLAIR WOOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACY INTERN
Contact information
Practice address
200 TRAMWAY BLVD SE, SMITH'S PHARMACY, ALBUQUERQUE, NM 87123-3934
(505) 296-9751
(505) 271-9095
Mailing address
200 TRAMWAY BLVD SE, SMITH'S PHARMACY, ALBUQUERQUE, NM 87123-3934
(505) 296-9751
(505) 271-9095
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IN00002853
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IN00002853
INTERN LICENSE
NM
Enumeration date
02/11/2008
Last updated
02/11/2008
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