Individual
PRIMA BHAKTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1941 SOUTHERN BLVD SE, RIO RANCHO, NM 87124-3510
(505) 891-8186
Mailing address
2824 ABETO LN SE, RIO RANCHO, NM 87124-4159
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00010456
NM
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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