Kevin Berry
Pharmacist in Roswell, NM. Individual provider (NPI-1).
NPI number1134829245
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1134829245
- Entity type
- Individual (NPI-1)
- Name
- Kevin Berry
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 7, 2023
- Certification date
- Mar 7, 2023
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | RP00009855 | NM | Yes |
Practice location
1110 S Main StRoswell, NM 88203-5635
Phone 575-623-9300
Mailing address
7715 Santa Maria Ct NwAlbuquerque, NM 87120-3607
Phone 505-288-9410
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