Individual
MOISES PHIL GRIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRH
Contact information
Practice address
5510 LOMAS BLVD NE, ALBUQUERQUE, NM 87110-6545
(505) 265-6868
(505) 256-9196
Mailing address
5510 LOMAS BLVD NE, ALBUQUERQUE, NM 87110-6545
(505) 265-6868
(505) 256-9196
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3957
NM
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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