Individual
MR. MARK RUSSELL MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
801 VASSAR DR NE, ALBUQUERQUE, NM 87106-2725
(505) 248-4027
(505) 248-7642
Mailing address
801 VASSAR DR NE, ALBUQUERQUE, NM 87106-2725
(505) 248-4027
(505) 248-7642
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00005383
NM
183500000X
Pharmacist
RPH 46073
CA
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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