Individual
CHANIECE DOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 563-8013
Mailing address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 563-8013
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00009309
NM
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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