Healthcare Provider Details

I. General information

NPI: 1942596309
Provider Name (Legal Business Name): VICTORIA BETH ROJO R.PH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2011
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2B STATE RD 344
EDGEWOOD NM
87015-6951
US

IV. Provider business mailing address

7404 EL MORRO RD NE
ALBUQUERQUE NM
87109-3804
US

V. Phone/Fax

Practice location:
  • Phone: 505-286-9040
  • Fax: 505-286-9221
Mailing address:
  • Phone: 505-899-4623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP00006087
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: