Individual
MICHAEL MARK MCBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2514 YALE AVE, ALAMOGORDO, NM 88310-4539
(575) 921-2142
Mailing address
2514 YALE AVE, ALAMOGORDO, NM 88310-4539
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3615
NM
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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