Individual
DR. NICHOLAS OLIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
933 SAN MATEO BLVD NE STE 501, ALBUQUERQUE, NM 87108-1956
(505) 313-8080
Mailing address
216 PHILLIPS RD, LOS LUNAS, NM 87031-7726
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00010245
NM
Other
Enumeration date
10/23/2024
Last updated
10/26/2024
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