Individual
AMIN EIZADKHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5701 HERRERA DR, SANTA FE, NM 87507-2677
(505) 424-9304
Mailing address
5701 HERRERA DR, SANTA FE, NM 87507-2677
(505) 424-9304
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008777
NM
Other
Enumeration date
08/28/2017
Last updated
07/21/2022
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