Individual
JOSEPH BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 UNSER BLVD NW, ALBUQUERQUE, NM 87121-7872
(505) 831-5094
(505) 831-5327
Mailing address
1201 UNSER BLVD SW, ALBUQUERQUE, NM 87121
(505) 831-5094
(505) 831-5327
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00003612
NM
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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