Individual
HEATH HATHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4700 CUTLER AVE NE, ALBUQUERQUE, NM 87110-4096
(505) 346-1661
Mailing address
4700 CUTLER AVE NE, ALBUQUERQUE, NM 87110-4096
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008248
NM
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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