Nicole Vallejos, PharmD
Pharmacist in Albuquerque, NM. Individual provider (NPI-1).
NPI number1164036810
StatusActive
Last updated in NPPESSep 1, 2020
Details
- NPI
- 1164036810
- Entity type
- Individual (NPI-1)
- Name
- Nicole Vallejos
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2020
- Certification date
- Sep 1, 2020
- Last updated
- Sep 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 00009276 | NM | Yes |
Other names
- Nicole Esquibel (Former Name)
Practice location
9600 Sage Rd SwAlbuquerque, NM 87121-6803
Phone 505-831-3518
Mailing address
9600 Sage Rd SwAlbuquerque, NM 87121-6803
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