Individual
COURTNEY LOVATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8011 VENTURA ST NE, ALBUQUERQUE, NM 87109-6429
(505) 217-2860
Mailing address
PO BOX 4824, SANTA FE, NM 87502-4824
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008156
NM
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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