Individual
DR. TERI M ROLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST CLINICIAN
Contact information
Practice address
1643 ISLETA BLVD SW, ALBUQUERQUE, NM 87105-4633
(505) 877-1620
(505) 877-3309
Mailing address
PO BOX 1350, PERALTA, NM 87042-1350
(505) 220-2569
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP00006917
NM
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PC00000238
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC 238
PHARMACIST CLINICIAN
NM
01
—
RP00006917
PHARMACIST LICENSE
NM
Enumeration date
09/17/2007
Last updated
07/27/2021
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