Most Relevant Information
Provider Data
| NPI Number: | 1003049024 |
| Provider Name: | DAVID LEWIS GOTTHEIMER RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 6658 |
Most Important Dates
| Enumeration Date: | 08/25/2009 |
| Last Updated: | 08/25/2009 |
Provider Practice Location
2625 SAN PEDRO DRIVE
ALBUQUERQUE
NM
87110
Practice Location Phone/Fax
| Phone: | 5052379027 |
| Fax: |
Provider Mailing Location
2625 SAN PEDRO DR NE
ALBUQUERQUE
NM
871103320
Provider Mailing Phone/Fax
| Phone: | 5052379027 |
| Fax: |