Healthcare Provider Details

I. General information

NPI: 1093789927
Provider Name (Legal Business Name): ANGELA PALI ALDRICH PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 12/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 CENTRAL AVE SE PRESBYTERIAN HOSPITAL PHARMACY ADMINISTRATION
ALBUQUERQUE NM
87106-4930
US

IV. Provider business mailing address

3800 PALOMAS DR NE
ALBUQUERQUE NM
87110-1213
US

V. Phone/Fax

Practice location:
  • Phone: 505-724-7761
  • Fax: 505-724-6024
Mailing address:
  • Phone: 505-724-7761
  • Fax: 505-724-6024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5974
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: