Individual
PHUONG THANH QUACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
8400 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-2302
(505) 559-9134
Mailing address
508 GLACIER BAY PL SE, ALBUQUERQUE, NM 87123-3481
(505) 266-0681
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007156
NM
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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