Veronica Sprunk, RPH

Individual provider Active NPI Pharmacotherapy Pharmacist · Isleta, NM

NPI 1104262914 · NPPES record last updated May 20, 2013

Key facts

NPI
1104262914
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacotherapy Pharmacist 1835P1200X
License
RP00007500 (NM)
Practice address
01 Sagebrush
Isleta, NM 87022
Phone
(505) 869-3200
NPI assigned
May 20, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP00007500NMMDPharmacotherapy Pharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X RP00007500 NM Yes

Addresses

Primary practice location

01 Sagebrush
Isleta, NM 87022

Mailing address

PO Box 640
Isleta, NM 87022-0640

Other providers in Isleta, NM

All providers in Isleta, NM · Pharmacotherapy Pharmacist in New Mexico

Sources for this page

Verify at the official NPI Registry.