MEDICARE: DR. FRIEDA SIMINSKI PHARM.D.

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	5553	NM
2	183500000X	Pharmacist	28198	TX

General Provider Information

NPI Number	:	1114121191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRIEDA SIMINSKI PHARM.D.

Provider Business Mailing Address
First Line	:	2440 LOUISIANA BLVD NE STE 601
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-4390
Country	:	US
Telephone Number	:	505-200-0411
Fax Number	:

Provider Business Practice Location Address
First Line	:	2440 LOUISIANA BLVD NE STE 601
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-4390
Country	:	US
Telephone Number	:	505-200-0411
Fax Number	:

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

Provider Enumeration Date	:	06/13/2007
Last Update Date	:	03/30/2016

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