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Organization

KENZIE CO LLC

Active
Other names
Southwest Vaccination and Consulting Services
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER ORTEGA PHARMD (CEO)
(505) 417-7196
Entity
Organization

Contact information

Practice address
8300 CARMEL AVE NE STE 303B, ALBUQUERQUE, NM 87122-3125
(505) 417-7196
Mailing address
12430 MAGIC MIST RD NE, ALBUQUERQUE, NM 87122-1284
(505) 417-7196

Taxonomy

Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary

Other

Enumeration date
02/08/2022
Last updated
12/09/2024
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