Individual
STARLA KAY PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6000 COORS BLVD NW, ALBUQUERQUE, NM 87120-2702
(505) 899-0989
Mailing address
6000 COORS BLVD NW, ALBUQUERQUE, NM 87120-2702
(505) 899-0989
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008044
NM
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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