Most Relevant Information
Provider Data
| NPI Number: | 1003256769 |
| Provider Name: | CANDICE NICOLE KORTE |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | RP00007993 |
Most Important Dates
| Enumeration Date: | 06/26/2013 |
| Last Updated: | 06/26/2013 |
Provider Practice Location
11120 LOMAS BLVD NE
T-0357
ALBUQUERQUE
NM
871125582
Practice Location Phone/Fax
| Phone: | 5053460193 |
| Fax: |
Provider Mailing Location
11120 LOMAS BLVD NE
T-0357
ALBUQUERQUE
NM
871125582
Provider Mailing Phone/Fax
| Phone: | 5053460193 |
| Fax: |