JED LYDEN

ALBUQUERQUE, NM
NPI1174096085
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NM  RP00006503)
Enumeration Date2019-01-03
Last Update Date2021-02-05
Business Address
JED LYDEN RP
112 MONROE ST NE
ALBUQUERQUE, NM 87108-1247
Phone number: 505-260-9917
Mailing Address
JED LYDEN RP
112 MONROE ST NE
ALBUQUERQUE, NM 87108-1247
Phone number: 505-260-9917