Individual
MR. RICK R MASCARENAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1610 N RIVERSIDE DR, ESPANOLA, NM 87532-8063
(505) 852-4280
Mailing address
P.O. BOX 1180, RANCHO SAN GABRIEL, SAN JUAN PUEBLO, NM 87566-1180
(505) 852-4280
(505) 747-0429
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
4471
NM
Other
Enumeration date
04/24/2007
Last updated
07/28/2014
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