MEDICARE: CLAUDIA MARECHAL RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RP00006344	NM

General Provider Information

NPI Number	:	1023341401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA MARECHAL RPH

Provider Business Mailing Address
First Line	:	2703 MESA LINDA DR NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87112-1119
Country	:	US
Telephone Number	:	505-259-7872
Fax Number	:

Provider Business Practice Location Address
First Line	:	7850 ENCHANTED HILLS BLVD NE
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87144-8623
Country	:	US
Telephone Number	:	505-771-2777
Fax Number	:	505-771-2772

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2009
Last Update Date	:	09/16/2009

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