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NPI Code Detail

MEDICARE: DARLENE D CHAVEZ PHARMD

MEDICARE: DARLENE D CHAVEZ PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRP00008017NM

General Provider Information

NPI Number : 1023450400
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARLENE D CHAVEZ PHARMD
Provider Business Mailing Address
First Line : 11825 LOMAS BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87112
Country : US
Telephone Number : 505-293-9156
Fax Number : 505-323-1740
Provider Business Practice Location Address
First Line : 11825 LOMAS BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87112-5613
Country : US
Telephone Number : 505-293-9156
Fax Number : 505-323-1740
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2013
Last Update Date : 07/25/2013

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Directions to “ DARLENE D CHAVEZ PHARMD” Practice Location

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