Individual
MR. RICHARD MENGONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
8011 VENTURA ST NE, ALBUQUERQUE, NM 87109-6429
(505) 217-2860
(505) 217-2866
Mailing address
6620 HIGH RIDGE PL NE, ALBUQUERQUE, NM 87111-8174
(913) 634-8435
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
044650
MO
183500000X
Pharmacist
12569
KS
183500000X
Pharmacist
Primary
4360
NM
Other
Enumeration date
10/07/2011
Last updated
03/27/2013
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