Justin Kotobi
Pharmacist in Albuquerque, NM. Individual provider (NPI-1).
NPI number1710694013
StatusActive
Last updated in NPPESNov 4, 2022
Details
- NPI
- 1710694013
- Entity type
- Individual (NPI-1)
- Name
- Justin Kotobi
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 4, 2022
- Certification date
- Nov 4, 2022
- Last updated
- Nov 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | RP00000106 | NM | Yes |
Practice location
8100 Wyoming Blvd NeAlbuquerque, NM 87113-1946
Phone 505-857-9783
Mailing address
9215 Black Farm Ln NwAlbuquerque, NM 87114-5957
Phone 505-977-8962
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All 921 Pharmacist providers in Albuquerque · All 29,333 providers in Albuquerque
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