Individual
PHIL CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2720 BROADBENT PKWY NE, ALBUQUERQUE, NM 87107-1628
(505) 269-4828
Mailing address
14013 MESITA CLIFF RD NE, ALBUQUERQUE, NM 87112-6580
(505) 269-4828
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4518
NM
Other
Enumeration date
09/07/2024
Last updated
09/07/2024
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