Individual
RYAN ANTHONY BERGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
11200 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-2677
(505) 298-7477
(505) 299-8617
Mailing address
9006 LEXINGTON AVE NE, ALBUQUERQUE, NM 87112-1242
(505) 379-5608
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008034
NM
Other
Enumeration date
07/28/2013
Last updated
07/28/2013
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