Individual
AUDRA SANDOVAL
Active
Individual
AUDRA SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPS, MSCP
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0021851
CO
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
P10560
ID
1835P1200X
Pharmacotherapy Pharmacist
Primary
P10560
ID
Other
Enumeration date
04/04/2018
Last updated
03/18/2026
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