Individual
VERA OAXACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
100 E HIGHWAY 550, BERNALILLO, NM 87004-5967
(505) 867-6071
Mailing address
1020 VIA CHAMISA NE, ALBUQUERQUE, NM 87113-1177
(505) 344-4165
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006765
NM
Other
Enumeration date
09/08/2007
Last updated
09/08/2007
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