Individual
MR. KYLE NEVIN ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
601 MENAUL BLVD NE UNIT 4301, ALBUQUERQUE, NM 87107-1533
(575) 202-2685
Mailing address
601 MENAUL BLVD NE UNIT 4301, ALBUQUERQUE, NM 87107-1533
(575) 202-2685
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00009591
NM
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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