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1659503365
BERNIE BACA
ALBUQUERQUE, NM
NPI
1659503365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NM rp00004714)
Enumeration Date
2009-08-13
Last Update Date
2009-08-14
Business Address
-- BERNIE BACA
9500 GOLF COURSE RD NW
ALBUQUERQUE, NM 87114-4270
Phone number: 505-897-7733
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Mailing Address
-- BERNIE BACA
9500 GOLF COURSE RD NW
ALBUQUERQUE, NM 87114-4270
Phone number: 505-897-7733
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