Individual
MR. LEWIS DALE MCCLESKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1445 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-3849
(505) 299-4496
(505) 299-7713
Mailing address
1445 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-3849
(505) 299-4496
(505) 299-7713
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00003454
NM
Other
Enumeration date
04/24/2010
Last updated
04/24/2010
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