Individual
DR. PHILLIP DE LEON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
7770 JEFFERSON ST NE STE 400, ALBUQUERQUE, NM 87109-4387
(505) 341-4739
Mailing address
7770 JEFFERSON ST NE STE 400, ALBUQUERQUE, NM 87109-4387
(505) 341-4739
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00009580
NM
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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