Healthcare Provider Details

I. General information

NPI: 1508588393
Provider Name (Legal Business Name): JOSEPH MURCHIO PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2022
Last Update Date: 09/19/2022
Certification Date: 09/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 RIDGECREST DR SE
RIO RANCHO NM
87124-5907
US

IV. Provider business mailing address

6224 SALT CEDAR RD NE
RIO RANCHO NM
87144-5170
US

V. Phone/Fax

Practice location:
  • Phone: 505-892-2262
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP00009742
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: