Individual
MICHELLE AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
7209 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4307
(505) 881-4601
Mailing address
7209 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4307
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007267
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP00007267
NEW MEXICO BOARD OF PHARMACY
NM
Enumeration date
09/11/2021
Last updated
09/11/2021
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