Individual
MRS. IRMA AVALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1209 UNIVERSITY BLVD NE, ALBUQUERQUE, NM 87102-1727
(505) 220-7152
Mailing address
1209 UNIVERSITY BLVD NE, ALBUQUERQUE, NM 87102-1727
(505) 272-4400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH00006368
NM
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PC00000198
NM
Other
Enumeration date
07/29/2010
Last updated
05/26/2023
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