Individual
MR. MARK A PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1712 SAINT MICHAELS DR, SANTA FE, NM 87505-7617
(505) 471-7823
Mailing address
1712 SAINT MICHAELS DR, SANTA FE, NM 87505-7617
(505) 471-7823
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4016
NM
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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