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Individual

DR. NATHAN LEVI DURAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD, PHC

Contact information

Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-6202
Mailing address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(575) 649-4260

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP00008743
NM
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PC00000316
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PC00000316
NEW MEXICO BOARD OF PHARMACY - PHARMACIST CLINICIAN
NM
01
RP00008743
NEW MEXICO BOARD OF PHARMACY
NM
Enumeration date
07/16/2018
Last updated
06/08/2023
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