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Larry Dixon, PharmD

Pharmacist in Albuquerque, NM. Individual provider (NPI-1).

NPI number1114089554
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1114089554
Entity type
Individual (NPI-1)
Name
Larry Dixon
Credential
PharmD
Sex
Male
Sole proprietor
No
Enumeration date
Dec 14, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistRP00006880NMYes

Practice location

801 Vassar Dr Ne
I.H.S. Albuquerque Indian Health Center
Albuquerque, NM 87106-2725

Phone 505-248-4027

Mailing address

801 Vassar Dr Ne
I.H.S. Albuquerque Indian Health Center
Albuquerque, NM 87106-2725

Phone 505-248-4027

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