Chavez, Wilfred
Chavez, Wilfred is an sole proprietor health care provider with primary practice located at 701 Dalies Ave , Belen NM 87002-3617. He recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as his primary health care specialty. Chavez, Wilfred can be contacted via phone (505) 864-7471.Contact Information
Primary practice address
701 Dalies Ave
Belen NM 87002-3617
Phone: (505) 864-7471
Fax: (505) 864-6535
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Compounding Pharmacy | 3336C0004X | CS00208115 | New Mexico |
Profile Details
| NPI number | 1750411096 |
|---|---|
| LBN Legal business name | Chavez, Wilfred |
| Credentials | PHRAMACIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750411096 | NPPES |
| New Mexico | Other | CS00208115 | LICENSE NUMBER |
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