MR. Alfred Victor Baca, REGISTERED PHARMACIS
NPI #1912059304 in Portales, New Mexico
Provider Information
- NPI Number
- 1912059304
- Entity Type
- Individual
- Name
- MR. Alfred Victor Baca, REGISTERED PHARMACIS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- REGISTERED PHARMACIS
- Enumeration Date
- Jan 17, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1719 S AVENUE D
- City
- Portales
- State
- New Mexico
- ZIP Code
- 88130-7241
- Phone
- (505) 356-8555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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