Individual
MR. JON MARK BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2950 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-2263
(505) 262-1745
(505) 262-9324
Mailing address
2950 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-2263
(505) 262-1745
(505) 262-9324
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006632
NM
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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