Healthcare Provider Details

I. General information

NPI: 1619631280
Provider Name (Legal Business Name): TROYLYN PATEL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2021
Last Update Date: 10/28/2021
Certification Date: 10/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9310 COORS BLVD NW
ALBUQUERQUE NM
87114-4006
US

IV. Provider business mailing address

9310 COORS BLVD NW
ALBUQUERQUE NM
87114-4006
US

V. Phone/Fax

Practice location:
  • Phone: 505-431-1900
  • Fax:
Mailing address:
  • Phone: 505-431-1900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP0009360
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: