Mindy Chou, PHARM.D.

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Acoma, NM

NPI 1215210703 · NPPES record last updated Sep 21, 2011

Key facts

NPI
1215210703
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
PHA-19203 (CO)
Practice address
80B Veterans Blvd
Acoma, NM 87034
Phone
(505) 552-5394
NPI assigned
Sep 21, 2011
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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PHA-19203COMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PHA-19203 CO Yes

Addresses

Primary practice location

80B Veterans Blvd
Acoma, NM 87034

Mailing address

PO Box 130
San Fidel, NM 87049-0130

Other providers in Acoma, NM

All providers in Acoma, NM · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New Mexico

Sources for this page

Verify at the official NPI Registry.