Individual
MICHAEL PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
211 SUDDERTH DR, RUIDOSO, NM 88345-6002
(575) 257-8264
Mailing address
211 SUDDERTH DR, RUIDOSO, NM 88345-6002
(575) 257-8264
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP00008928
NM
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PC00000306
NM
Other
Enumeration date
12/11/2018
Last updated
09/03/2020
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