Individual
MR. PABLO VIRAMONTES IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 609-2484
Mailing address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 609-2484
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP6201
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16475810
—
NM
Enumeration date
06/12/2011
Last updated
05/05/2026
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