Individual
MR. EUGENE BENEDICT LIBERACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1256 EL PASEO RD, LAS CRUCES, NM 88001-6026
(575) 525-8713
Mailing address
8315 GREEN RUN RD, LA MESA, NM 88044-9486
(575) 647-4468
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007228
NM
183500000X
Pharmacist
RP023685L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP00007228
STATE BOARD OF PHARMACY, NEW MEXICO
NM
Enumeration date
08/12/2010
Last updated
08/12/2010
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