Jose Bautista III, PHARMD

NPI #1164261558 in Las Cruces, New Mexico

Provider Information

NPI Number: 1164261558
Entity Type: Individual
Name: Jose Bautista III, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: May 23, 2024
Last Updated: May 23, 2024

Practice Location

Address: 2450 S TELSHOR BLVD
City: Las Cruces
State: New Mexico
ZIP Code: 88011-5076
Phone: (575) 522-8641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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