Chacon, Marissa
Chacon, Marissa is an sole proprietor health care provider with primary practice located at 1501 San Pedro Dr Se Ste 119 , Albuquerque NM 87108-5180. She recently has only one registered license in Pharmacy Service Providers / Psychiatric, which is considered as her primary health care specialty. Chacon, Marissa can be contacted via phone (505) 265-1711.Contact Information
Primary practice address
1501 San Pedro Dr Se Ste 119
Albuquerque NM 87108-5180
Phone: (505) 265-1711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Psychiatric | 1835P1300X | RP00008792 | New Mexico |
Profile Details
| NPI number | 1659973873 |
|---|---|
| LBN Legal business name | Chacon, Marissa |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 12th, 2020 |
| Last updated | Nov 12th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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