Individual
MR. MARTIN PIERCE MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1110 GOLF CLUB RD, LAS CRUCES, NM 88011
(619) 980-8976
(505) 521-3093
Mailing address
1110 GOLF CLUB RD, LAS CRUCES, NM 88011
(619) 980-8976
(505) 521-3093
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4258
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4258
REG PHARMACIST LICENSE #
NM
Enumeration date
05/03/2007
Last updated
07/08/2007
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