ROBERT MARION ADDISON

PORTALES, NM
NPI1225151988
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1835P1200X Pharmacist, Pharmacotherapy
(Licence: NM  PC00000015)
Enumeration Date2007-04-09
Last Update Date2007-07-08
Business Address
-- ROBERT MARION ADDISON PhC
42121 US HWY 70
PORTALES, NM 88130-0510
Phone number: 505-356-6652
Mailing Address
-- ROBERT MARION ADDISON PhC
PO BOX 550
FORT SUMNER, NM 88119-0550
Phone number: 505-355-7357