Healthcare Provider Details

I. General information

NPI: 1740271188
Provider Name (Legal Business Name): ADLINA S CHIANG RPH., MBA
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/03/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1946 COYOTE RIDGE DR
LAS CRUCES NM
88011-4042
US

IV. Provider business mailing address

1946 COYOTE RIDGE DR
LAS CRUCES NM
88011-4042
US

V. Phone/Fax

Practice location:
  • Phone: 505-521-3173
  • Fax:
Mailing address:
  • Phone: 505-521-3173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number6543
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number6543
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: