Healthcare Provider Details

I. General information

NPI: 1992113559
Provider Name (Legal Business Name): AMY ZARICK-JONES PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2014
Last Update Date: 07/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10224 COORS BYP NW
ALBUQUERQUE NM
87114-4398
US

IV. Provider business mailing address

2422 TREVISO DR SE
RIO RANCHO NM
87124-8942
US

V. Phone/Fax

Practice location:
  • Phone: 505-897-6935
  • Fax:
Mailing address:
  • Phone: 505-363-2864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP00008178
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: