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NPI Code Detail

MEDICARE: DR. JAMES GONZALES PHARMD

MEDICARE: DR. JAMES GONZALES 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
1183500000XPharmacistRP00007378NM

General Provider Information

NPI Number : 1851629190
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES GONZALES PHARMD
Provider Business Mailing Address
First Line : 7801 BASSWOOD DR NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87120-4064
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3298 CERRILLOS RD
Second Line :
City : SANTA FE
State : NM
Zip : 87507-2925
Country : US
Telephone Number : 505-474-3507
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2009
Last Update Date : 11/25/2009

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Directions to “ DR. JAMES GONZALES PHARMD” Practice Location

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