NPI 1033271044

Scarlet Danielle Southern, RPH

Practitioner Pharmacotherapy Pharmacist San Fidel, NM

Practice location

Address: Interstate 40, Exit 102, San Fidel, NM 87049
Phone: (505) 552-5394
Fax: (505) 552-5464
Mailing address: 924 Avenida Manana NE, Albuquerque, NM 87110-6167

Registered specialties

Pharmacotherapy Pharmacist Primary

Pharmacy Service Providers Taxonomy 1835P1200X Licence 11833 (NC)

Other Pharmacist providers in New Mexico →

Registry record

NPI: 1033271044
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Dec 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.