Individual
EMMANUEL OFODILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
6800 VISTA DEL NORTE RD NE, APT. 412, ALBUQUERQUE, NM 87113-1311
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007598
NM
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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