Individual
LOUIS CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 SAN MATEO BLVD SE, ALBUQUERQUE, NM 87108-5629
(505) 262-1915
Mailing address
301 SAN MATEO BLVD SE, ALBUQUERQUE, NM 87108-5629
(505) 262-1915
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006446
NM
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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