Individual
MICHAEL LOUIS VANDERWOUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D., RPH
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-4239
Mailing address
1131 UNIVERSITY BLVD NE STE G, ALBUQUERQUE, NM 87102-1738
(505) 272-3405
(505) 272-8140
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006908
NM
Other
Enumeration date
06/15/2009
Last updated
11/14/2017
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