Individual
PAULA RENEE BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
649 HARKLE RD STE E, SANTA FE, NM 87505-4765
(505) 955-9454
(505) 216-9069
Mailing address
6212 KEYENTA PL NW, ALBUQUERQUE, NM 87120-3281
(505) 321-3971
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
1835P1200X
Pharmacotherapy Pharmacist
Primary
5531
NM
Other
Enumeration date
04/26/2007
Last updated
05/15/2025
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