Healthcare Provider Details

I. General information

NPI: 1073867321
Provider Name (Legal Business Name): LAURA N SCHWARTZ PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA N ROGERS

II. Dates (important events)

Enumeration Date: 11/07/2012
Last Update Date: 11/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4101 INDIAN SCHOOL RD NE
ALBUQUERQUE NM
87110-3988
US

IV. Provider business mailing address

PO BOX 65686
ALBUQUERQUE NM
87193-5686
US

V. Phone/Fax

Practice location:
  • Phone: 505-727-5691
  • Fax: 505-727-5329
Mailing address:
  • Phone: 505-934-4849
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP00007736
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: