Individual
MARCOS CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2011 12TH ST NW, ALBUQUERQUE, NM 87104-2301
(505) 247-2353
Mailing address
12 CHELSEA LN, PERALTA, NM 87042-8828
(505) 410-6841
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007313
NM
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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