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NPI Code Detail

MEDICARE: DR. RUBEN U APODACA PHARMD

MEDICARE: DR. RUBEN U APODACA 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
1183500000XPharmacistRP00008787NM

General Provider Information

NPI Number : 1104334002
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RUBEN U APODACA PHARMD
Provider Business Mailing Address
First Line : 1021 E PINE ST
Second Line :
City : DEMING
State : NM
Zip : 88030-7009
Country : US
Telephone Number : 575-546-6746
Fax Number :
Provider Business Practice Location Address
First Line : 1021 E PINE ST
Second Line :
City : DEMING
State : NM
Zip : 88030-7009
Country : US
Telephone Number :
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2018
Last Update Date : 01/14/2018

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Directions to “ DR. RUBEN U APODACA PHARMD” Practice Location

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