JORDAN VERMILLION

ALBUQUERQUE, NM
NPI1902453541
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: NM  RP00009169)
Enumeration Date2019-08-19
Last Update Date2019-08-19
Business Address
JORDAN VERMILLION
12201 ACADEMY RD NE
ALBUQUERQUE, NM 87111-8051
Phone number: 505-275-9733
Mailing Address
JORDAN VERMILLION
12201 ACADEMY RD NE
ALBUQUERQUE, NM 87111-8051
Phone number: 505-275-9733
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