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Individual

CAROL PAULINE WELLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
8040 ACADEMY RD NE, ALBUQUERQUE, NM 87111-1159
(505) 823-4480
(505) 823-6693
Mailing address
54 PLAZA DE LA NOCHE NE, ALBUQUERQUE, NM 87109-3634
(505) 821-0076

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00004571
NM

Other

Enumeration date
01/30/2008
Last updated
01/30/2008
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