Provider Demographics
NPI:1497088595
Name:READ, DAVID M (RPH)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:READ
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 GOLF COURSE RD NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-4270
Mailing Address - Country:US
Mailing Address - Phone:505-897-7733
Mailing Address - Fax:505-897-3533
Practice Address - Street 1:9500 GOLF COURSE RD NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-4270
Practice Address - Country:US
Practice Address - Phone:505-897-7733
Practice Address - Fax:505-897-3533
Is Sole Proprietor?:No
Enumeration Date:2009-09-08
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00004411183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist