Individual
NICHOLAS MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5850 EUBANK BLVD NE, ALBUQUERQUE, NM 87111-6132
(505) 299-7621
Mailing address
5850 EUBANK BLVD NE, ALBUQUERQUE, NM 87111-6132
(575) 491-5325
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20043
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020043
COLORADO STATE BOARD OF PHARMACY
CO
01
—
9272
NEW MEXICO BOARD OF PHARMACY
NM
Enumeration date
01/23/2014
Last updated
05/16/2026
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