Individual
MARK RICHARD CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6001 LOMAS BLVD NE, ALBUQUERQUE, NM 87110-6618
(505) 266-7433
(505) 265-7384
Mailing address
608 GRECIAN AVE NW, ALBUQUERQUE, NM 87107-5729
(505) 344-6368
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00004939
NM
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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