Individual
DANIEL GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2351 MAIN ST SE, LOS LUNAS, NM 87031-6320
(505) 865-2089
Mailing address
2351 MAIN ST SE, LOS LUNAS, NM 87031-6320
(505) 865-2089
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0008904
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP0008904
NEW MEXICO BOARD OF PHARMACY
NM
Enumeration date
07/06/2018
Last updated
07/06/2018
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