Jenna Domzalski De Rios, PharmD
Pharmacist in Albuquerque, NM. Individual provider (NPI-1).
NPI number1124382007
StatusActive
Last updated in NPPESJun 26, 2012
Details
- NPI
- 1124382007
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jenna Domzalski De Rios
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2012
- Last updated
- Jun 26, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | RP00007816 | NM | Yes |
Practice location
2105 Central Ave NwAlbuquerque, NM 87104-1605
Phone 505-242-2713
Mailing address
1828 Stanford Dr NeAlbuquerque, NM 87106-2538
Phone 505-803-1411
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