Individual
MR. GARDNER FUGATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
808 N CANAL, ALBERTSONS PHARMACY, CARLSBAD, NM 88220
(505) 885-2165
(505) 887-8300
Mailing address
3510 CASS DRIVE, CARLSBAD, NM 88220
(505) 885-2165
(505) 887-8300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4044
NM
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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