Individual
TRE MAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5850 EUBANK BLVD NE, STE A01, ALBUQUERQUE, NM 87111-6132
(505) 217-2818
Mailing address
2415 GENERAL MARSHALL ST NE, ALBUQUERQUE, NM 87112-1147
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008062
NM
Other
Enumeration date
09/04/2013
Last updated
09/13/2013
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