MEDICARE: ANDREA TONYA PARRA RPH

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
1	183500000X	Pharmacist	RP00006655	NM

General Provider Information

NPI Number	:	1356641393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA TONYA PARRA RPH

Provider Business Mailing Address
First Line	:	2303 13TH ST SE
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87124-4883
Country	:	US
Telephone Number	:	505-453-4378
Fax Number	:

Provider Business Practice Location Address
First Line	:	8040 ACADEMY RD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87111-1159
Country	:	US
Telephone Number	:	505-857-9783
Fax Number	:	505-823-4480

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2010
Last Update Date	:	05/28/2026

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