Organization
NEW MEXICO DEPARTMENT OF HEALTH PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONYA REYNE MIERA R.PH. (PHARMACIST ADVANCED)
(505) 476-8354
Entity
Organization
Contact information
Practice address
1301 SILER RD, BUILDING A, SANTA FE, NM 87507-3541
(505) 476-8358
(505) 424-3438
Mailing address
1301 SILER RD, BUILDING A, SANTA FE, NM 87507-3541
(505) 476-8358
(505) 424-3438
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PH00001608
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3209954
NCPDP
NM
Enumeration date
04/26/2007
Last updated
09/21/2009
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