Individual
MR. RUDY NOLASCO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
602 UNIVERSITY AVE, LAS VEGAS, NM 87701-4248
(505) 425-6241
(505) 425-8510
Mailing address
PO BOX 2797, LAS VEGAS, NM 87701-2797
(505) 425-8962
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4260
NM
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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