Individual
YASMINE AWAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11825 LOMAS BLVD NE, ALBUQUERQUE, NM 87112-5613
(505) 293-9156
Mailing address
1200 SASEBO ST NE, ALBUQUERQUE, NM 87112-6328
(505) 508-7735
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008979
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP00008979
NEW MEXICO BOARD OF PHARMACY
NM
Enumeration date
09/06/2018
Last updated
09/06/2018
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