Individual
MR. BRUCE PAUL ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2580 HIGHWAY 47 AND 49, LOS LUNAS, NM 87031
(505) 865-3310
(505) 866-1721
Mailing address
PO BOX 91962, ALBUQUERQUE, NM 87199-1962
(505) 821-4079
(505) 821-1016
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3944
NM
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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