Individual
ROBERT BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4700 4TH ST NW, ALBUQUERQUE, NM 87107-3902
(505) 344-1390
Mailing address
4500 NORMA DR NE, ALBUQUERQUE, NM 87109-1736
(575) 512-6939
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00010215
NM
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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