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Charles Nmi Vandiver, RPH,PHC
Pharmacotherapy Pharmacist in Santa Fe, New Mexico
NPI 1306861166

Charles Nmi Vandiver is a Pharmacotherapy Pharmacist based in Angel Fire, NM and is specialized in Pharmacotherapy. Charles Nmi Vandiver practices in Santa Fe, NM and has the professional credentials of RPH,PHC. The NPI Number for Charles Nmi Vandiver is 1306861166 and holds a License No. PC00000033 (New Mexico).

The current practice location address for Charles Nmi Vandiver is 1422 Paseo De Peralta, Santa Fe, NM and can be reached out via phone at 505-289-3291 and via fax at 505-289-3648. You can also correspond with Charles Nmi Vandiver through the mailing address at PO BOX 307, ANGEL FIRE, NM - 87710-0307 (mailing address contact number: 505-377-2548).

Location: 1422 Paseo De Peralta, Santa Fe, NM, 87710-0307
person
Provider Profile Details
NPI Number
1306861166
Provider Name
Charles Nmi Vandiver
Credential
RPH,PHC
Provider Entity Type
Individual
Gender
Male
Address
1422 Paseo De Peralta, Santa Fe, NM, 87710-0307
Phone Number
505-289-3291
Fax Number
505-289-3648
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4458 01 NM REGISTERED PHARMACIST #
PC00000033 01 NM PHARMACIST CLINICIAN NUM
CS00021140 01 NM NM CONTROLLED SUBST. NUM
institution
Provider Business Practice Location Address Details
Address
1422 Paseo De Peralta
City
State
Zip
87501-4391
Phone Number
505-289-3291
Fax Number
505-289-3648
person
Provider Business Mailing Address Details
Address
Po Box 307
City
State
Zip
87710-0307
Phone Number
505-377-2548
Fax Number
505-377-2548
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacotherapy
Taxonomy
License No.
PC00000033 (New Mexico)
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
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