Individual
ADAM MICHAEL SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1115 N RIVERSIDE DR # DER, ESPANOLA, NM 87532-2802
(505) 753-7005
Mailing address
5021 SAN MATEO LN NE APT 72, ALBUQUERQUE, NM 87109-2480
(505) 225-8430
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
RP00009132
NM
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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