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Individual

WILLIAM SURROCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D

Contact information

Practice address
10800 UNSER BLVD NW, ALBUQUERQUE, NM 87114-1064
(505) 205-1849
Mailing address
2522 CONTRERAS RD NE, RIO RANCHO, NM 87144-5627

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008454
NM

Other

Enumeration date
10/06/2015
Last updated
10/06/2015
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