LARA PEREA STACKONIS

ALBUQUERQUE, NM
NPI1396284691
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: NM  RP00005571)
Enumeration Date2017-02-20
Last Update Date2017-02-20
Business Address
-- LARA PEREA STACKONIS
904 LAS LOMAS RD NE
ALBUQUERQUE, NM 87102-2633
Phone number: 505-924-2661
Mailing Address
-- LARA PEREA STACKONIS
904 LAS LOMAS RD NE
ALBUQUERQUE, NM 87102-2633
Phone number: 505-924-2661
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