Individual
GARDENIA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST (PHARM D)
Contact information
Practice address
111 COORS BLVD NW, ALBUQUERQUE, NM 87121
(505) 555-5555
Mailing address
111 COORS BLVD NW, ALBUQUERQUE, NM 87121-2006
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RP00009753
NM
Other
Enumeration date
10/05/2022
Last updated
05/01/2025
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