Individual
DR. REX SOUMPHOLPHAKDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD., RPH
Contact information
Practice address
6200 COORS BLVD NW, ALBUQUERQUE, NM 87120-2785
(505) 898-5970
(505) 792-5198
Mailing address
6200 COORS BLVD NW, ALBUQUERQUE, NM 87120-2785
(505) 898-5970
(505) 792-5198
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
82-0184434
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57358761
—
NM
Enumeration date
06/25/2008
Last updated
06/25/2008
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