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WILFRED CHAVEZ PHRAMACIST

Medical Equipment Supplier Yellow Pages

Belen, New Mexico

Provider NPI: 1750411096

Provider Information:
 WILFRED  CHAVEZ PHRAMACIST


Practice Location:
701 DALIES AVE  BELEN, NM 87002 US
Tel: 505-864-7471  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
NMCS00208115

Other Provider Identifiers:

IssuerNumberStateType
LICENSE NUMBERCS00208115NM01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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