Individual
MIKIKO YAMADA TAKEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2502 MARBLE AVE NE MSC09 5360, ALBUQUERQUE, NM 87131-0001
(505) 272-6126
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RP00007912
NM
Other
Enumeration date
04/22/2013
Last updated
10/28/2024
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