Individual
DR. VINCENT JOHN AGUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
9500 GOLF COURSE RD NW, ALBUQUERQUE, NM 87114-4270
(505) 899-7733
Mailing address
1501 ALTEZ ST NE, ALBUQUERQUE, NM 87112-4002
(505) 236-9001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007701
NM
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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