Viramontes, Pablo

Viramontes, Pablo is an sole proprietor health care provider with primary practice located at 4900 E Main St T-0952, Farmington NM 87402-8658. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Viramontes, Pablo can be contacted via phone (505) 327-3555.

Contact Information

Primary practice address
4900 E Main St T-0952 Farmington NM 87402-8658
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RP6201 New Mexico

Profile Details

NPI number 1265727820
LBN Legal business name Viramontes, Pablo
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2011
Last updated Jun 12th, 2011 - about 15 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 1265727820 NPPES
New Mexico MEDICAID 16475810

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