Individual
VIRGINIA HATHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
3400 COORS BLVD NW, ALBUQUERQUE, NM 87120-1448
(505) 836-4111
Mailing address
8501 JAMES AVE NE, ALBUQUERQUE, NM 87111-3224
(505) 414-3956
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008089
NM
Other
Enumeration date
10/22/2013
Last updated
08/31/2014
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