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1902214109
RYAN BACA
ALBUQUERQUE, NM
NPI
1902214109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NM RP00008202)
Enumeration Date
2014-07-31
Last Update Date
2014-07-31
Business Address
-- RYAN BACA Pharm D
5201 CENTRAL AVE NE
ALBUQUERQUE, NM 87108-1328
Phone number: 505-217-9907
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Mailing Address
-- RYAN BACA Pharm D
7220 CENTRAL AVE SE APT 1071
ALBUQUERQUE, NM 87108-2074
Phone number: 505-603-8172
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