Individual
KEVIN BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1110 S MAIN ST, ROSWELL, NM 88203-5635
(575) 623-9300
Mailing address
7715 SANTA MARIA CT NW, ALBUQUERQUE, NM 87120-3607
(505) 288-9410
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00009855
NM
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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