Healthcare Provider Details

I. General information

NPI: 1891919858
Provider Name (Legal Business Name): RENEE-CLAUDE MERCIER PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF NEW MEXICO COLLEGE OF PHARMACY MSC09 5360 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE NM
87131-0001
US

IV. Provider business mailing address

460 SIERRA DR SE
ALBUQUERQUE NM
87108-2719
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-0581
  • Fax: 505-272-6749
Mailing address:
  • Phone: 505-272-0581
  • Fax: 505-272-6749

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number6260
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: