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NPI Code Detail

MEDICARE: MS. DONNA MARIE CROSS RPH

MEDICARE: MS. DONNA MARIE CROSS RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRP00006814NM

General Provider Information

NPI Number : 1225356652
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DONNA MARIE CROSS RPH
Provider Business Mailing Address
First Line : 3016 LOUISIANA BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110
Country : US
Telephone Number : 505-884-0307
Fax Number : 505-884-3895
Provider Business Practice Location Address
First Line : 4016 LOUISIANA BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-1447
Country : US
Telephone Number : 505-884-0307
Fax Number : 505-884-3895
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2010
Last Update Date : 05/10/2010

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Directions to “ MS. DONNA MARIE CROSS RPH” Practice Location

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