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NPI Code Detail

MEDICARE: NGA Q DOAN PHARMD

MEDICARE: NGA Q DOAN PHARMD
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
1183500000XPharmacist6512NM

General Provider Information

NPI Number : 1720311244
Entity Type Code : Individual
Provider Name (Legal Business Name) : NGA Q DOAN PHARMD
Provider Business Mailing Address
First Line : 13000 INDIAN SCHOOL RD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87112-4803
Country : US
Telephone Number : 505-379-5077
Fax Number : 505-275-7245
Provider Business Practice Location Address
First Line : 13000 INDIAN SCHOOL RD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87112-4803
Country : US
Telephone Number : 505-379-5077
Fax Number : 505-275-7245
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2009
Last Update Date : 09/16/2009

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Directions to “ NGA Q DOAN PHARMD” Practice Location

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