Individual
EVANGELINE PAVLAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2620 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-2802
(505) 884-0455
(505) 872-1642
Mailing address
2620 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-2802
(505) 884-0455
(505) 872-1642
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00004489
NM
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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