Individual
EDWIN ALLEN ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
3501 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-1335
(505) 255-8908
Mailing address
3501 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-1335
(505) 255-8908
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007724
NM
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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