Individual provider · Type 1 NPI

Alfred Victor Baca, REGISTERED PHARMACIS

Pharmacist · Portales, NM

NPI number 1912059304 Active

Practice location

1719 S Avenue D
Portales, NM 88130-7241

Call (505) 356-8555 Map

Fax (505) 356-5659

Mailing address

1663 S Roosevelt Road 4
Portales, NM 88130-9678

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X4514 (NM)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1912059304

Alfred Victor Baca, REGISTERED PHARMACIS's National Provider Identifier is 1912059304, issued on Jan 17, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Portales, NM. The record was last updated on Jul 8, 2007.