Healthcare Provider Details

I. General information

NPI: 1235647371
Provider Name (Legal Business Name): CLAUDIA ROBISON RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CLAUDIA MILLADGE RPH

II. Dates (important events)

Enumeration Date: 01/10/2018
Last Update Date: 01/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10700 UNSER BLVD NW
ALBUQUERQUE NM
87114-4640
US

IV. Provider business mailing address

1500 LUZ DE SOL DR SE
RIO RANCHO NM
87124-8726
US

V. Phone/Fax

Practice location:
  • Phone: 505-881-8822
  • Fax:
Mailing address:
  • Phone: 505-975-5297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP00006558
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: