Individual
MR. MICHAEL ANTHONY KIROLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
4340 SAN MATEO BLVD NE, ALBUQUERQUE, NM 87110-1234
(505) 884-0417
Mailing address
4340 SAN MATEO BLVD NE, ALBUQUERQUE, NM 87110-1234
(505) 884-0417
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
00006854
NM
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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