Healthcare Provider Details

I. General information

NPI: 1356551014
Provider Name (Legal Business Name): KARIM A REMTULLAH BPHARM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 04/06/2025
Certification Date: 04/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3542 ZAFARANO DR
SANTA FE NM
87507-2606
US

IV. Provider business mailing address

7309 VIA CONTENTA NE
ALBUQUERQUE NM
87113-1342
US

V. Phone/Fax

Practice location:
  • Phone: 505-471-2914
  • Fax: 505-471-2463
Mailing address:
  • Phone: 505-453-5926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP00006661
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: