Healthcare Provider Details

I. General information

NPI: 1811980089
Provider Name (Legal Business Name): AMY SAYNER-FLUSCHE PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 MECHEM DR
RUIDOSO NM
88345-6911
US

IV. Provider business mailing address

105 PAT THOMPSON CT
RUIDOSO NM
88345-5818
US

V. Phone/Fax

Practice location:
  • Phone: 505-257-3882
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number00006209
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: