Soumpholphakdy, Oudalom

Soumpholphakdy, Oudalom is an sole proprietor health care provider with primary practice located at 11001 Menaul Blvd Ne , Albuquerque NM 87112-2432. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Soumpholphakdy, Oudalom can be contacted via phone (505) 200-3440.

Contact Information

Primary practice address
11001 Menaul Blvd Ne Albuquerque NM 87112-2432
Phone: (505) 200-3440
Fax: (505) 200-3436
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RP00006608 New Mexico
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PC00000149 New Mexico

Profile Details

NPI number 1740442474
LBN Legal business name Soumpholphakdy, Oudalom
Credentials PHARM.D, PH.C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2008
Last updated Jul 18th, 2014 - about 12 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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