Individual
MR. IMESH C VAIDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
10236 COORS BYP NW, ALBUQUERQUE, NM 87114-4088
(505) 898-1730
(505) 890-8035
Mailing address
10236 COORS BYP NW, ALBUQUERQUE, NM 87114-4088
(505) 898-1730
(505) 890-8035
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP5910
NM
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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