Healthcare Provider Details

I. General information

NPI: 1588080998
Provider Name (Legal Business Name): PATRICK P SAIZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2014
Last Update Date: 03/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 COORS BLVD SW
ALBUQUERQUE NM
87121-5274
US

IV. Provider business mailing address

3500 COORS BLVD SW
ALBUQUERQUE NM
87121-5274
US

V. Phone/Fax

Practice location:
  • Phone: 505-877-8987
  • Fax: 505-877-8989
Mailing address:
  • Phone: 505-877-8987
  • Fax: 505-877-8989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP00006172
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: