Healthcare Provider Details

I. General information

NPI: 1699218958
Provider Name (Legal Business Name): TAREN SMITH-TOWNSEND PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2016
Last Update Date: 11/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 NM528
RIO RANCHO NM
87124
US

IV. Provider business mailing address

1001 NM 528
RIO RANCHO NM
87124
US

V. Phone/Fax

Practice location:
  • Phone: 505-896-2078
  • Fax:
Mailing address:
  • Phone: 505-896-2078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP8610
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: