Healthcare Provider Details

I. General information

NPI: 1164967378
Provider Name (Legal Business Name): RICARDO SANCHEZ PHARMD.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/23/2016
Last Update Date: 12/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3331 RINCONADA BLVD
LAS CRUCES NM
88011-7193
US

IV. Provider business mailing address

3331 RINCONADA BLVD
LAS CRUCES NM
88011-7193
US

V. Phone/Fax

Practice location:
  • Phone: 575-680-3779
  • Fax:
Mailing address:
  • Phone: 575-680-3779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP00008631
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: