Individual
JOHN M GIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6125 4TH ST NW, ALBUQUERQUE, NM 87107-5755
(505) 344-3509
Mailing address
6704 MARIPOSA PL NW, ALBUQUERQUE, NM 87120-3080
(505) 289-9832
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5288
NM
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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