Individual
DEANNA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
195 PASEO DE PERALTA, SANTA FE, NM 87501-1857
(505) 982-8787
Mailing address
8628 NAPA VALLEY RD NE, ALBUQUERQUE, NM 87122-2616
(505) 858-0831
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0005214
NM
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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