Individual
ANDREW J BUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2709 PAN AMERICAN FWY NE STE G, ALBUQUERQUE, NM 87107-1650
(505) 341-4739
(505) 341-4745
Mailing address
4031 BRYAN AVE NW, ALBUQUERQUE, NM 87114-5215
(505) 343-9831
(505) 341-4745
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006146
NM
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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