Individual
JAY SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2502 MARBLE NE, RM B-48, ALBUQUERQUE, NM 87131-0001
(505) 925-0748
Mailing address
53 ROCK RIDGE CT NE, ALBUQUERQUE, NM 87122-2023
(505) 306-6742
Taxonomy
Speciality
Code
Description
License number
State
1835N0905X
Nuclear Pharmacist
Primary
RP00008035
NM
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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