Nellos, Juanita M

Nellos, Juanita M is an sole proprietor health care provider with primary practice located at 12201 Academy Rd Ne , Albuquerque NM 87111-8051. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Nellos, Juanita M can be contacted via phone (505) 275-9733.

Contact Information

Primary practice address
12201 Academy Rd Ne Albuquerque NM 87111-8051
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RP00003593 New Mexico

Profile Details

NPI number 1114271574
LBN Legal business name Nellos, Juanita M
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2012
Last updated Nov 6th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114271574 NPPES
New Mexico Other 440629 NABP

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