Individual
MARIA DOLORES HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1000 ROBERT RD, GRANTS, NM 87020-4012
(505) 285-3378
Mailing address
4312 BLUMENSHINE CIR SW, ALBUQUERQUE, NM 87105-5310
(505) 289-7786
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00009403
NM
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RP00009403
NM
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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