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Individual

DR. BRANDA CHALEUNPHONH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM. D.

Contact information

Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
1209 INDIANA ST NE, ALBUQUERQUE, NM 87110-6907
(505) 948-7739

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP00009551
NM
1835E0208X
Emergency Medicine Pharmacist
Primary
RP00009551
NM

Other

Enumeration date
06/19/2023
Last updated
06/19/2023
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