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Individual

BEROJA DURIQI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11001 MENAUL BLVD NE, ALBUQUERQUE, NM 87112-2432
(505) 200-3440
Mailing address
722 GRACE ST NE, ALBUQUERQUE, NM 87123-1233
(505) 410-3957

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00009575
NM

Other

Enumeration date
09/24/2021
Last updated
09/24/2021
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