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NPI Code Detail

MEDICARE: ELVER FAJARDO DEL CID PHARM D

MEDICARE: ELVER FAJARDO DEL CID 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
1183500000XPharmacistRP00010031NM

General Provider Information

NPI Number : 1598544959
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELVER FAJARDO DEL CID PHARM D
Provider Business Mailing Address
First Line : 1712 STRAWBERRY DR NE
Second Line :
City : RIO RANCHO
State : NM
Zip : 87144-8007
Country : US
Telephone Number : 505-235-7537
Fax Number :
Provider Business Practice Location Address
First Line : 111 CENTRAL PARK SQ
Second Line :
City : LOS ALAMOS
State : NM
Zip : 87544-4020
Country : US
Telephone Number : 505-661-9560
Fax Number : 505-661-9599
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2023
Last Update Date : 09/25/2023

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Directions to “ ELVER FAJARDO DEL CID PHARM D” Practice Location

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