Individual provider · NPI-1

Dr. Ana Lisa Acosta, PharmD

Pharmacist · Albuquerque, NM

NPI number1427708221
StatusActive
Last updated in NPPESMar 25, 2022

Details

NPI
1427708221
Entity type
Individual (NPI-1)
Name
Dr. Ana Lisa Acosta
Credential
PharmD
Sex
Female
Sole proprietor
No
Enumeration date
Mar 25, 2022
Certification date
Mar 24, 2022
Last updated
Mar 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistRP0009429NMYes

Practice location

4705 Montgomery Blvd Ne
Albuquerque, NM 87109-1226

Phone 505-727-7867

Mailing address

10108 San Gabriel Rd Ne
Albuquerque, NM 87111-3640

Phone 915-474-5612

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