Provider First Line Business Practice Location Address:
2502 MARBLE NE
Provider Second Line Business Practice Location Address:
COLLEGE OF PHARMACY
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87131-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-272-3664
Provider Business Practice Location Address Fax Number:
505-272-4721
Provider Enumeration Date:
10/18/2005