Individual
DR. LEO CLIFFORD VANDERPOOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
407 W HWY 550, BERNALILLO, NM 87004-5995
(505) 867-2336
(505) 867-0911
Mailing address
407 W HWY 550, BERNALILLO, NM 87004-5995
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007820
NM
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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