Individual
SAMANTHA PAUSTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10300 CENTRAL AVE SE, ALBUQUERQUE, NM 87123-2732
(505) 292-0917
Mailing address
601 MENAUL BLVD NE, #1401, ALBUQUERQUE, NM 87107-1531
(575) 571-5478
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008205
NM
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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