Individual
MRS. RITA A AGBEMADZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4300 RIDGECREST DR SE, RIO RANCHO, NM 87124-5911
(505) 892-2262
(595) 892-1163
Mailing address
500 ALBINO RD, CORRALES, NM 87048-8536
(505) 896-8050
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP 7582
NM
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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