Individual
MIGUEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
200 61ST ST SW, ALBUQUERQUE, NM 87121-2324
(727) 564-0473
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
RP00009704
NM
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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