Individual
KRISTIN BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2111
Mailing address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00010373
NM
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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