Provider Demographics
NPI:1902091457
Name:SHARMA, SNEHA SURENDRA (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:SNEHA
Middle Name:SURENDRA
Last Name:SHARMA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 INDIAN SCHOOL RD NE APT E108
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-1642
Mailing Address - Country:US
Mailing Address - Phone:505-249-5357
Mailing Address - Fax:
Practice Address - Street 1:3901 CARLISLE BLVD NE
Practice Address - Street 2:LOVELACE CARLISLE PHARMACY
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107
Practice Address - Country:US
Practice Address - Phone:505-888-8548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM6941183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist