Individual
BRUCE ALEXANDER JACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 730-3355
Mailing address
7416 SULKY DR NE, ALBUQUERQUE, NM 87109-6804
(505) 730-3355
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00004151
NM
Other
Enumeration date
04/02/2007
Last updated
08/29/2025
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