Individual
AMYE ELIZABETH TAKACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
2709 PAN AMERICAN FWY NE STE G, ALBUQUERQUE, NM 87107-1650
(505) 341-4739
Mailing address
10901 TRANQUILO RD NE, ALBUQUERQUE, NM 87111-6941
(505) 263-0238
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007529
NM
Other
Enumeration date
08/29/2010
Last updated
08/29/2010
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