ALFRED VICTOR BACA

PORTALES, NM
NPI1912059304
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NM  4514)
Enumeration Date2007-01-17
Last Update Date2007-07-08
Business Address
Mr. ALFRED VICTOR BACA Registered Pharmacis
1719 S AVENUE D
PORTALES, NM 88130-7241
Phone number: 505-356-8555
Mailing Address
Mr. ALFRED VICTOR BACA Registered Pharmacis
1663 S ROOSEVELT ROAD 4
PORTALES, NM 88130-9678
Phone number: 505-356-8555
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