Provider Demographics
NPI:1902946155
Name:HAAKENSON, LINDA GAIL (RPH)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:GAIL
Last Name:HAAKENSON
Suffix:
Gender:F
Credentials:RPH
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Mailing Address - Street 1:5947 GUADALUPE TRL NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107-5453
Mailing Address - Country:US
Mailing Address - Phone:505-277-4469
Mailing Address - Fax:505-277-0286
Practice Address - Street 1:UNM STUDENT HEALTH CENTER PHARMACY
Practice Address - Street 2:MSC06 3870 1 UNIVERSITY OF NEW MEXICO
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-0001
Practice Address - Country:US
Practice Address - Phone:505-277-4469
Practice Address - Fax:505-277-0286
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM4102183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist