Individual
DAVID PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8100 WYOMING BLVD NE, ALBUQUERQUE, NM 87113-1946
(505) 857-9783
Mailing address
2512 RED SKY ST SW, LOS LUNAS, NM 87031
(505) 385-9014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00009122
NM
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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