Individual
MR. HAMID GHIASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1217 1ST ST NW, ALBUQUERQUE, NM 87102-1529
(057) 665-1975
(505) 312-4046
Mailing address
PO BOX 25445, ALBUQUERQUE, NM 87125-0445
(505) 766-5197
(505) 312-4046
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4976
NM
Other
Enumeration date
10/13/2009
Last updated
10/05/2020
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