Young, Eric

Young, Eric is an sole proprietor health care provider with primary practice located at 649 Harkle Rd Ste E , Santa Fe NM 87505-4765. 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 Clinician (PhC)/ Clinical Pharmacy Specialist is his primary health care specialty. Young, Eric can be contacted via phone (505) 955-9454.

Contact Information

Primary practice address
649 Harkle Rd Ste E Santa Fe NM 87505-4765
Phone: (505) 955-9454
Fax: (505) 216-9067
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RP00007744 New Mexico
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X CP00000284 New Mexico

Profile Details

NPI number 1477824761
LBN Legal business name Young, Eric
Credentials PHARMD, PHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2012
Last updated Oct 12th, 2023 - about 3 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 1477824761 NPPES
New Mexico MEDICAID 51108861

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