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Individual

MR. WILLIAM S LORD JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1807 VIA DEL SOL NE, ALBUQUERQUE, NM 87110-4959
(505) 262-9002
Mailing address
1807 VIA DEL SOL NE, ALBUQUERQUE, NM 87110-4959
(505) 262-9002

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4255
NM

Other

Enumeration date
11/07/2005
Last updated
10/05/2012
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