Healthcare Provider Details

I. General information

NPI: 1770440992
Provider Name (Legal Business Name): ABQ PHARMACEUTICAL SERVICES CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6816 ACADEMY PARKWAY EAST NE UNIT C-1
ALBUQUERQUE NM
87109-4476
US

IV. Provider business mailing address

6816 ACADEMY PARKWAY EAST NE UNIT C-1
ALBUQUERQUE NM
87109-4476
US

V. Phone/Fax

Practice location:
  • Phone: 505-218-9383
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: ANI MKRTCHYAN
Title or Position: PRESIDENT
Credential:
Phone: 818-257-1457