Individual
RUDOLPH SHOATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6501 WYOMING BLVD NE, 310, ALBUQUERQUE, NM 87109-3932
(505) 346-1560
Mailing address
6501 WYOMING BLVD NE, 310, ALBUQUERQUE, NM 87109-3932
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00003740
NM
Other
Enumeration date
12/26/2014
Last updated
01/07/2015
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