Individual
RICARDO FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
955 N WHITE SANDS BLVD, ALAMOGORDO, NM 88310-6925
(575) 434-4116
(575) 434-4579
Mailing address
955 N WHITE SANDS BLVD, ALAMOGORDO, NM 88310-6925
(575) 434-4116
(575) 434-4579
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.288202
IL
183500000X
Pharmacist
34766
TX
183500000X
Pharmacist
Primary
RP00007105
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051.288202
NEW MEXICO IMMUNIZATION
NM
Enumeration date
09/01/2009
Last updated
09/01/2009
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