Individual
LYDIA KRUMWIEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
4749 DANUBE DR NE, ALBUQUERQUE, NM 87111-2718
(505) 508-8557
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00009971
NM
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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