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1114236056
ROBERT S MEDINA
LOS ALAMOS, NM
NPI
1114236056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NM rp6576)
Enumeration Date
2010-09-27
Last Update Date
2010-09-27
Business Address
Dr. ROBERT S MEDINA RPh
535 CENTRAL AVE
LOS ALAMOS, NM 87544-3202
Phone number: 505-662-4778
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Mailing Address
Dr. ROBERT S MEDINA RPh
182 BLUE SPRUCE DR
JEMEZ SPRINGS, NM 87025-9069
Phone number: 505-662-4778
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