Individual
DR. ABDU MUKTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1010 SPRUCE ST, ESPANOLA, NM 87532-2724
(505) 753-7111
Mailing address
1010 SPRUCE ST, ESPANOLA, NM 87532-2724
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007605
NM
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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