Individual
PATRICIA LYNN WALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
4016 LOUISIANA BLVD NE, ALBUQUERQUE, NM 87110-1447
(505) 884-0307
(505) 884-3895
Mailing address
4808 NORTHRIDGE CT NE, ALBUQUERQUE, NM 87109-3020
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6578
NM
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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