Individual
LEE EDWIN RENFRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
8910 HOLLY AVE NE, ALBUQUERQUE, NM 87122-2947
(505) 796-0387
(505) 796-0396
Mailing address
8910 HOLLY AVE NE, ALBUQUERQUE, NM 87122-2947
(505) 796-0387
(505) 796-0396
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007677
NM
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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