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:
Health care specialties
| Specialty | Code | License # | 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 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649499567 | NPPES |
| New Mexico | MEDICAID | 37101056 |
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