Individual
ALEXIS SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2550 COORS BLVD NW, ALBUQUERQUE, NM 87120-2123
(505) 352-1880
Mailing address
2550 COORS BLVD NW, ALBUQUERQUE, NM 87120-2123
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008463
NM
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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