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1114142882
BRUCE PAUL ALLEN
LOS LUNAS, NM
NPI
1114142882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NM 3944)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
MR. BRUCE PAUL ALLEN RPH
2580 HIGHWAY 47 AND 49
LOS LUNAS, NM 87031
Phone number: 505-865-3310
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Mailing Address
MR. BRUCE PAUL ALLEN RPH
PO BOX 91962
ALBUQUERQUE, NM 87199-1962
Phone number: 505-821-4079
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