Healthcare Provider Details

I. General information

NPI: 1205048055
Provider Name (Legal Business Name): LENKA HREBICKOVA PHARMD RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 LOMAS BLVD NE UNIVERSITY OF NEW MEXICO HOSPITAL
ALBUQUERQUE NM
87131
US

IV. Provider business mailing address

9420 CALLAWAY CIR NE
ALBUQUERQUE NM
87111
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-2033
  • Fax: 505-272-2037
Mailing address:
  • Phone: 505-821-2237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP00006695
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: