Breeden, Charlotte Sophia

Breeden, Charlotte Sophia is an sole proprietor health care provider with primary practice located at 3301 Los Arboles Ave Ne , Albuquerque NM 87107-1943. She recently has 4 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Geriatric, Pharmacy Service Providers / Pharmacotherapy, Pharmacy Service Providers / Psychiatric. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Breeden, Charlotte Sophia can be contacted via phone (505) 800-7092.

Contact Information

Primary practice address
3301 Los Arboles Ave Ne Albuquerque NM 87107-1943
Phone: (505) 800-7092
Fax: (505) 888-2851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5392 New Mexico
Pharmacy Service Providers / Geriatric 1835G0303X 5392 New Mexico
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 5392 New Mexico
Pharmacy Service Providers / Psychiatric 1835P1300X 5392 New Mexico

Profile Details

NPI number 1649499567
LBN Legal business name Breeden, Charlotte Sophia
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2007
Last updated Jul 19th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649499567 NPPES
New Mexico MEDICAID 37101056

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