Individual
EVAN LAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2950 CENTRAL AVE. SW, ALBUQUERQUE, NM 87106
(505) 262-1745
Mailing address
9723 ENTRADA PL NW, ALBUQUERQUE, NM 87114-3775
(505) 463-1893
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00009380
NM
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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