Organization
WALGREEN'S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KONKOL PHARM D. (PHARMACIST)
(510) 427-1673
Entity
Organization
Contact information
Practice address
4051 SOUTHERN BLVD SE, RIO RANCHO, NM 87124-2069
(505) 892-6690
Mailing address
4051 SOUTHERN BLVD SE, RIO RANCHO, NM 87124-2069
(505) 892-6690
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP00008469
NM
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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