Individual
MR. BRUCE ROBERT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1000 E ROOSEVELT AVE, GRANTS, NM 87020-2118
(505) 287-3913
Mailing address
2133 PASEO DEL PRADO NW, ALBUQUERQUE, NM 87104-2571
(505) 350-6368
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3757
NM
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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