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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 4 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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