Individual
MICHAEL JOSEPH GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9640 MENAUL BLVD NE, ALBUQUERQUE, NM 87112-2217
(505) 294-4167
Mailing address
9640 MENAUL BLVD NE, ALBUQUERQUE, NM 87112-2217
(505) 294-4167
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007863
NM
Other
Enumeration date
09/22/2012
Last updated
09/22/2012
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