Healthcare Provider Details
I. General information
NPI: 1952719270
Provider Name (Legal Business Name): KATRINA A SAIZ PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/30/2014
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1501 SAN PEDRO DR SE
ALBUQUERQUE NM
87108-5153
US
IV. Provider business mailing address
2913 DURANES RD NW
ALBUQUERQUE NM
87104-2735
US
V. Phone/Fax
- Phone: 505-610-9100
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | RP00008204 |
| License Number State | NM |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: