Individual
MARK KEVIN FAJARDO DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4815 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 521-7971
Mailing address
501 S CAMPBELL ST APT D41, EL PASO, TX 79901-3197
(702) 285-2437
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
73096
TX
1835P2201X
Ambulatory Care Pharmacist
Primary
73096
TX
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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